TRIAD BREAST IMAGING CENTER, LLC (NPI# 1245859453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245859453 |
Entity Type | Organization |
Organization Name | TRIAD BREAST IMAGING CENTER, LLC |
Other Organization Name | NOVANT HEALTH BREAST IMAGING CENTER GREENSBORO |
Practice Address |
3515 W Market St Ste 320 Greensboro NC 27403-4438 |
Mailing Address |
3480 Preston Ridge Rd Ste 600 Alpharetta GA 30005-5462 |
Practice Telephone | 3366605420 |
Practice Fax Number | 3366605429 |
Mailing Telephone | 7703000101 |
Enumeration Date | 2020-04-09 |
Last Update Date | 2020-09-02 |
Authorized Official Name | BRUCE ELDER (CEO) |
Authorized Official Telephone | 7703000101 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Novant Health Breast Imaging Center | Doing Business As Name - Organization |
Novant Health Breast Imaging Center Greensboro | Doing Business As Name - Organization |
Street Address |
3515 W MARKET ST STE 320 |
City | GREENSBORO |
State | NC |
Zip Code | 27403-4438 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518581412 | Tina Tate | Nurse Practitioner | Behavioral Health Hospital, 700 Walter Reed Drive, Greensboro, NC 27403 | 2020-06-05 |
1609438514 | Gail Corneau | Psychologist | Uncg Psychology Clinic, 1100 West Market Street, Greensboro, NC 27403 | 2019-07-01 |
1528527298 | Kendall Austin Macdonald | Hearing Instrument Specialist | 2823 A Spring Garden St, Suite A, Greensboro, NC 27403 | 2019-03-13 |
1093292237 | Andrew Robertson | Pharmacist | 1903 W. Florida St, Greensboro, NC 27403 | 2018-07-20 |
1447778071 | Bac Developmental Program Inc | Day Training, Developmentally Disabled Services | 2203 Coliseum Blvd, Greensboro, NC 27403 | 2017-09-04 |
1144607128 | Waldo's Optical | Eyewear Supplier (Equipment, not the service) | 2500 Spring Garden St., Suite C, Greensboro, NC 27403 | 2015-04-29 |
1851703144 | Tedra Slade | Social Worker | 612 Pasteur Dr., Suite 300, Greensboro, NC 27403 | 2014-05-21 |
1336568807 | Brian Sninsky | Urology | Alliance Urology Specialists, Pa, 509 N. Elam Ave., 2nd Floor, Greensboro, NC 27403 | 2014-04-14 |
1003237785 | Peter Reich | Counselor | 907 Englewood St, Greensboro, NC 27403 | 2013-12-23 |
1508295429 | Alexander Wilson Lpc Inc | Counselor | 3719 West Market Street, Suite B, Greensboro, NC 27403 | 2013-11-01 |
Find all providers in zip 27403 |
Taxonomy Code | 2085R0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Diagnostic Radiology |
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073756177 | Total Radiology Solutions P A | Radiology | 5 Dovercrest Ct, Greensboro, NC 27407-8314 | 2009-04-20 |
1851568489 | Benjamin William Mcclintock | Radiology | 1331 N. Elm Street, Ste. 200, Greensboro, NC 27401-6304 | 2008-05-13 |
1336359199 | Melanie Bernadette Sanford | Radiology | 1331n Elm St 200, Greensboro, NC 27401-6304 | 2007-05-23 |
1992736326 | Diagnostic Radiology & Imaging, LLC | Radiology | 315 W Wendover Ave, Greensboro, NC 27408-8401 | 2006-07-05 |
1225077829 | Kyle D Talbot | Radiology | 1331 N. Elm St, Suite 200, Greensboro, NC 27401-6304 | 2006-06-06 |
1366497521 | John Arthur Strong | Radiology | 1317 N. Elm Street, Suite 1 B, Greensboro, NC 27401-1023 | 2006-05-24 |
1790743078 | Triad Imaging LLC | Radiology | 2705 Henry St, Greensboro, NC 27405-3669 | 2006-05-03 |
1538132162 | Geoffrey T Lamke | Radiology | 14 Canvasback Pt, Greensboro, NC 27455-1327 | 2006-02-13 |
1679551725 | William Walter Woodruff IIi | Radiology | 1331 N. Elm St., Ste. 200, Greensboro, NC 27401-6304 | 2006-01-08 |
1245213412 | Rebecca Smith Kennedy | Radiology | 1331 N Elm St, Suite 200, Greensboro, NC 27401-6302 | 2005-11-22 |
Find all providers in GREENSBORO |
City | GREENSBORO |
Zip Code | 27403 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.