DR. AMANDA JO LOTT MARCELLINO (NPI# 1457794927) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457794927 |
| Entity Type | Individual |
| Full Name | DR. AMANDA JO LOTT MARCELLINO |
| Credential | M.D. |
| Practice Address |
1132 N Church St Ste 200 Greensboro NC 27401 |
| Mailing Address |
1701 Westchester Dr Ste 850 High Point NC 27262-7254 |
| Practice Telephone | 3367025496 |
| Practice Fax Number | 3365447180 |
| Mailing Telephone | 3367022007 |
| Enumeration Date | 2013-04-15 |
| Last Update Date | 2019-12-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 201600327 | NC | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1132 N CHURCH ST STE 200 |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841716065 | Michelle M Leroux Martinez | Audiologist | 1132 N Church St Ste 200, Greensboro, NC 27401-1040 | 2017-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639779655 | Warfair Counseling, Consulting, & Supervision, Pllc | Counselor | 301 South Elm Street, Suite 801, Greensboro, NC 27401 | 2020-10-28 |
| 1225636848 | Alma Lucero Diaz | Registered Nurse | 1121 North Church St, Greensboro, NC 27401 | 2020-10-15 |
| 1447865217 | Rebecca Levy | Marriage & Family Therapist | Cone Health Family Medicine 1125 N Church Street, Greensboro, NC 27401 | 2020-09-09 |
| 1346854304 | Rayna's Home Care, LLC | Registered Nurse | 823 North Elm Street, Greensboro, NC 27401 | 2020-09-06 |
| 1316574718 | Garrett Green | Physician Assistant | 1121 N Church St., Greensboro, NC 27401 | 2020-03-25 |
| 1629635685 | Lauren Robinson Byrd | Anesthesiology | 1200 North Church St, Greensboro, NC 27401 | 2019-05-24 |
| 1285103069 | Shannon Marie Childs Meyerhoff | Occupational Therapist | Guilford County Schools Ec, 134 Franklin Blvd, Greensboro, NC 27401 | 2018-11-21 |
| 1194293241 | Ashley Marie Smith | Nurse Practitioner | 1200 North Elm St, Greensboro, NC 27401 | 2018-11-07 |
| 1285117762 | Anastazia Juszczak Gray | Speech-Language Pathologist | 1131 N. Church St, Greensboro, NC 27401 | 2018-09-11 |
| 1619474012 | Jamie Hannah Rose Aldridge | Psychiatry & Neurology | 1121 N Church Street, Greensboro, NC 27401 | 2018-04-11 |
| Find all providers in zip 27401 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619033164 | Su Wooi Teoh | Otolaryngology | 3824 N Elm St Ste 201, Greensboro, NC 27455-2733 | 2006-12-29 |
| 1063467710 | James J Lee | Otolaryngology | 321 W Wendover Ave, Greensboro, NC 27408 | 2006-05-23 |
| 1568433357 | James J Crossley | Otolaryngology | 100 E Northwood St, Greensboro, NC 27401-1310 | 2006-01-30 |
| 1952372237 | Greensboro Ear Nose & Throat Associates Pa | Otolaryngology | 1132 N Church St, Suite 200, Greensboro, NC 27401-1039 | 2006-01-27 |
| 1114293818 | Cornerstone Health Care, LLC | Otolaryngology | 1132 North Church Street, Suite 200, Greensboro, NC 27401-1040 | 2012-03-27 |
| 1164668505 | Su Wooi Teoh Md Pa | Otolaryngology | 3824 N Elm St Ste 201, Greensboro, NC 27455 | 2009-01-06 |
| 1184844003 | Mitchell Ray Gore | Otolaryngology | 1132 N Church St, Suite 200, Greensboro, NC 27401-1039 | 2007-04-26 |
| 1972652436 | Richard A Keever | Otolaryngology | 3402 Battleground Ave, Greensboro, NC 27410-2404 | 2007-01-10 |
| 1053351965 | Dwight D Bates | Otolaryngology | 1132 N Church St, Suite 200, Greensboro, NC 27401-1039 | 2006-06-08 |
| 1407896723 | Christopher Ernest Newman | Otolaryngology | 100 E Northwood St, Greensboro, NC 27401-1310 | 2006-06-07 |
| Find all providers in GREENSBORO | ||||
| City | GREENSBORO |
| Zip Code | 27401 |
Please comment or provide details below to improve the information on DR. AMANDA JO LOTT MARCELLINO.
| 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.