TRIAD RADIOLOGY ASSOCIATES, PLLC (NPI# 1447368659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447368659 |
| Entity Type | Organization |
| Organization Name | TRIAD RADIOLOGY ASSOCIATES, PLLC |
| Practice Address |
3015 Maplewood Ave Ste 200 Winston Salem NC 27103-4075 |
| Mailing Address |
3010 Trenwest Dr Winston Salem NC 27103-3208 |
| Practice Telephone | 3367944188 |
| Mailing Telephone | 3367185844 |
| Mailing Fax Number | 3369705298 |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2018-04-16 |
| Authorized Official Name | DARLENE CLAGETT (DIRECTOR) |
| Authorized Official Telephone | 3369705318 |
| Is Organization Subpart | Y |
| Parent Organization Name | TRIAD RADIOLOGY ASSOCIATES, PLLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | PENDING | 05 |
| Street Address |
3015 MAPLEWOOD AVE STE 200 |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27103-4075 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124648126 | Kelly Anne Wales | Pharmacist | 3917-a Westpoint Boulevard, Winston-salem, NC 27103 | 2020-04-20 |
| 1386281533 | Elena Mcginty | Nurse Practitioner | 1225 Creekshire Way, Suite 270, Winston Salem, NC 27103 | 2019-12-06 |
| 1992359442 | Madeline Pryor | Pharmacist | 255 Charlois Drive, Winston Salem, NC 27103 | 2019-08-01 |
| 1215599584 | Palmetto Oxygen LLC | Durable Medical Equipment & Medical Supplies | 1100 S Stratford Road, Building B, Suite 420, Winston Salem, NC 27103 | 2019-07-07 |
| 1548734718 | Trivy Johnson | Specialist | 1384-b Westgate Center Dr., Winston Salem, NC 27103 | 2019-01-21 |
| 1447745047 | Novant Health Rehabilitation Hospital of Winston-salem, LLC | Rehabilitation Hospital | 2475 Hillcrest Center Circle, Winston Salem, NC 27103 | 2018-06-26 |
| 1346740206 | Joseph Miller | Physical Therapist | 1605 Westbrook Dr, Suite 103, Winston-salem, NC 27103 | 2018-02-17 |
| 1548779101 | Kristin Blow | Counselor | 3000 Bethesda Pl Ste 202, Winston Salem, NC 27103 | 2017-09-27 |
| 1891213443 | Alisha Dawn Wilson | Occupational Therapy Assistant | 2101 Homestead Hills Drive, Winston Salem, NC 27103 | 2017-09-05 |
| 1588186969 | Brandy Wilson | Social Worker | 153 Cameron Way Circle, Winston Salem, NC 27103 | 2017-07-07 |
| Find all providers in zip 27103 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033147657 | Jay Anthony Requarth | Radiology | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2006-06-30 |
| 1164406104 | Michael A Bettmann | Radiology | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2005-12-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124376454 | Unc Vascular Access Center | Radiology | 2214 Nelson Hwy, Chapel Hill, NC 27517-8923 | 2012-08-16 |
| 1467691766 | Michael B Smith | Radiology | 2134 14th Avenue Cir Nw Ste D, Hickory, NC 28601-7358 | 2009-02-10 |
| 1366687568 | American Access Care of Nc Pllc | Radiology | 2501 Weston Parkway, Cary, NC 27513-5598 | 2008-12-03 |
| 1568580892 | Waleska Michelle Pabon-ramos | Radiology | 2301 Erwin Rd Duke North Dumc 3808, Durham, NC 27710-0999 | 2007-03-26 |
| 1730267014 | James D Bowie | Radiology | Dumc 3808, Durham, NC 27710-0001 | 2006-11-02 |
| 1699870584 | Carolina Radiology Consultants, Pa | Radiology | 1705 So Tarboro St, Wilson Medical Center, Wilson, NC 27893 | 2006-09-14 |
| 1396791745 | Peter Lawrence Leuchtmann | Radiology | 3979 Browning Pl, Raleigh, NC 27609-6504 | 2006-05-26 |
| 1497733554 | High Point Radiological Services | Radiology | 1208 Eastchester Dr, Suite 200, High Point, NC 27265-3170 | 2006-01-08 |
| 1710533286 | Theo Joseph Beach Jr. | Radiology | 3186 Village Dr Ste 201, Fayetteville, NC 28304-3979 | 2019-08-12 |
| 1679055685 | Megan Alexandra Anne Hunstad | Radiology | 3623 Latrobe Dr Ste 216, Charlotte, NC 28211-2117 | 2018-09-06 |
| Find all providers with the same taxonomy | ||||
| City | WINSTON SALEM |
| Zip Code | 27103 |
Please comment or provide details below to improve the information on TRIAD RADIOLOGY ASSOCIATES, PLLC.
| 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.