LARRY KEITH CANTLEY (NPI# 1457336893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457336893 |
| Entity Type | Individual |
| Full Name | LARRY KEITH CANTLEY |
| Credential | MD |
| Practice Address |
755 Highland Oaks Dr Suite 201 Winston Salem NC 27103-7106 |
| Mailing Address |
Po Box 751803 Charlotte NC 28275-1803 |
| Practice Telephone | 3367650020 |
| Practice Fax Number | 3367650581 |
| Mailing Telephone | 3367650020 |
| Enumeration Date | 2005-12-08 |
| Last Update Date | 2013-06-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
24230 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | AETNA | 4098171 | 01 |
| SC | Q24230 | 05 | |
| NC | 89127FN | 05 | |
| NC | BLUE CROSS | 127FN | 01 |
| VA | 5850215 | 05 | |
| NC | PARTNERS | 1001 | 01 |
| WV | 3002077000 | 05 | |
| NC | MEDCOST | A0333 | 01 |
| Street Address |
755 HIGHLAND OAKS DR SUITE 201 |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27103-7106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831725175 | Leslie Travia | Counselor | 755 Highland Oaks Dr, Winston Salem, NC 27103-7106 | 2020-03-18 |
| 1043562606 | Roger Gomez | Physician Assistant | 755 Highland Oaks Dr, Ste 202, Winston Salem, NC 27103-7106 | 2012-10-08 |
| 1083911820 | Fifth River Mental Health | Psychiatry & Neurology | 755 Highland Oaks Dr, Suite 202, Winston Salem, NC 27103-7106 | 2011-02-14 |
| 1689976441 | Sehr Hafiz | Physician Assistant | 755 Highland Oaks Dr, Suite 202, Winston Salem, NC 27103-7106 | 2010-11-30 |
| 1629306444 | Neal Hamilton Guffey, Jr. Md Pllc | Family Medicine | 755 Highland Oaks Dr, Suite 102, Winston Salem, NC 27103-7106 | 2009-12-07 |
| 1801026810 | Pooja Raghavan | Internal Medicine | 755 Highland Oaks Dr, Ste 201, Winston Salem, NC 27103-7106 | 2009-07-24 |
| 1164670568 | Lloyd J Story Md, Pa | Internal Medicine | 755 Highland Oaks Dr, Suite 102, Winston Salem, NC 27103-7106 | 2008-08-28 |
| 1750441382 | Anne Cath Md Pllc | Internal Medicine | 755 Highland Oaks Dr, Suite 102, Winston Salem, NC 27103-7106 | 2006-12-12 |
| 1689749780 | Ann Q Bogard Md Pa | Otolaryngology | 755 Highland Oaks Dr, Ste 204, Winston Salem, NC 27103-7106 | 2006-11-22 |
| 1962448704 | Kathy Jackson Teasdall | Otolaryngology | 755 Highland Oaks Dr, Ste 204, Winston Salem, NC 27103-7106 | 2006-06-21 |
| Find all providers in the same location | ||||
| 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 | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174813570 | Chinenyenwa Usoh | Internal Medicine | 4610 Country Club Rd, Winston Salem, NC 27104-3520 | 2011-04-19 |
| 1730301037 | Jaime E Trujillo Md Pa | Internal Medicine | 3080 Trenwest Drive, Winston Salem, NC 27103 | 2007-05-03 |
| 1023104981 | Tracie Christine Farmer | Internal Medicine | 755 Highland Oaks Dr Ste 201, Dba Forsyth Endocrine Consultants, Winston Salem, NC 27103-7106 | 2006-10-05 |
| 1023000676 | Kellie A Faulk | Internal Medicine | 1400 Westgate Center Drive, Suite 130, Winston Salem, NC 27103-3104 | 2005-08-19 |
| 1376092056 | Novant Medical Group, Inc | Internal Medicine | 1400 Westgate Center Drive, Suite 130, Winston Salem, NC 27103-3104 | 2016-09-23 |
| 1982023172 | Matthew Gorris | Internal Medicine | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2014-04-15 |
| 1740627496 | Mark Vincent Guido | Internal Medicine | 755 Highland Oaks Dr Ste 201, Winston Salem, NC 27103 | 2013-06-03 |
| 1801026810 | Pooja Raghavan | Internal Medicine | 755 Highland Oaks Dr, Ste 201, Winston Salem, NC 27103-7106 | 2009-07-24 |
| 1437320959 | Kavya Chitra Mekala | Internal Medicine | Medical Center Blvd, Section On Endocrinology, E Floor Nutrition Building, Winston Salem, NC 27157-0001 | 2008-03-13 |
| 1760663579 | Amanda Ring Cunningham | Internal Medicine | Medical Center Blvd, Endocrinology, Winston Salem, NC 27157-0001 | 2007-11-20 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27103 |
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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.