DR. SANJANA IDDYADINESH (NPI# 1548641871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548641871 |
| Entity Type | Individual |
| Full Name | DR. SANJANA IDDYADINESH |
| Credential | D.O |
| Practice Address |
3402 Battleground Ave Greensboro NC 27410-2578 |
| Practice Telephone | 3368830029 |
| Mailing Telephone | 3368830029 |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2019-02-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 2018-02717 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 1548641871 | 05 |
| Street Address |
3402 BATTLEGROUND AVE |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27410-2578 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992705982 | Douglas Dane Blevins | Internal Medicine | 3402 Battleground Ave, Greensboro, NC 27410-2404 | 2005-07-31 |
| 1467012054 | Tyler Terry | Nurse Practitioner | 3402 Battleground Ave, Greensboro, NC 27410-2578 | 2019-06-17 |
| 1316402092 | Melissa Bujanowski | Physician Assistant | 3402 Battleground Ave, Greensboro, NC 27410-2578 | 2019-02-06 |
| 1649747163 | Cherrice Applewhite Tice | Nurse Practitioner | 3402 Battleground Ave, Greensboro, NC 27410-2578 | 2018-11-01 |
| 1407344724 | Laura Lee Vanderburg | Registered Nurse | 3402 Battleground Ave, Greensboro, NC 27410-2578 | 2018-04-23 |
| 1942716758 | Stacey R Ratliff | Physician Assistant | 3402 Battleground Ave, Greensboro, NC 27410-2404 | 2017-12-18 |
| 1316303076 | Bethany Medical Center | Internal Medicine | 3402 Battleground Ave, Greensboro, NC 27410-2404 | 2016-01-12 |
| 1407190135 | Janelle M Grossman | Nurse Practitioner | 3402 Battleground Ave, Greensboro, NC 27410-2578 | 2012-11-19 |
| 1740588532 | Optimus Healthcare Pllc | Clinic/Center | 3402 Battleground Ave, Greensboro, NC 27410-2404 | 2011-03-03 |
| 1447566443 | Optimus Medical Group, Pllc | Clinic/Center | 3402 Battleground Ave, Greensboro, NC 27410-2404 | 2010-08-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669095014 | Well-spring Home Care LLC | In Home Supportive Care | 3859 Battleground Avenue, Suite 301, Greensboro, NC 27410 | 2020-05-20 |
| 1679139372 | Iora Health North Carolina, P.C. | Internal Medicine | 3351 Battleground Ave., Greensboro, NC 27410 | 2019-05-17 |
| 1669950689 | Matthew W Devaney Dds @ Brassfield, Pa | Dentist | 2018 New Garden Rd D., Greensboro, NC 27410 | 2018-08-01 |
| 1306323951 | Carolina Children's Eye Care, Pa | Ophthalmology | Friendly-holden Building, 3608 W Friendly Ave, Suite 101, Greensboro, NC 27410 | 2018-07-26 |
| 1457846495 | Courtney Canty James | Pharmacist | 3300 W Friendly Ave, Greensboro, NC 27410 | 2018-06-22 |
| 1063904506 | Jonathan Hunt | Dentist | 5506 W Friendly Ave Ste 101, Greensboro, NC 27410 | 2018-05-31 |
| 1487158549 | Ruth Ann Foster | Registered Nurse | 3005 Steepleton Colony Court, Greensboro, NC 27410 | 2018-03-22 |
| 1568973360 | Novant Medical Group Inc. | Internal Medicine | 1622 Highwoods Blvd Unit G105, Greensboro, NC 27410 | 2017-10-19 |
| 1942724729 | Greenbrook Tms Greensboro LLC | Psychiatry & Neurology | 1931 New Garden Rd Ste 108, Greensboro, NC 27410 | 2017-08-02 |
| 1750810156 | Ibrahim Koroma | Home Health Aide | 4907 Hickory Woods Dr, Greensboro, NC 27410 | 2017-06-08 |
| Find all providers in zip 27410 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467014233 | Shea Nicole Church | Family Medicine | 5710 W Gate City Blvd # 1, Greensboro, NC 27407-7061 | 2019-07-02 |
| 1487116968 | The Moses H. Cone Memorial Hospital Operating Corporation | Family Medicine | 3711 Elmsley St Ste 101, Greensboro, NC 27406-7039 | 2019-04-03 |
| 1104315654 | Richter Family Medicine and Wellness | Family Medicine | 5500 W Friendly Ave Ste 201, Greensboro, NC 27410-4368 | 2018-05-09 |
| 1588177315 | Medexpress Urgent Care North Carolina, P.C. | Family Medicine | 4100 Beechwood Dr, Greensboro, NC 27410-8117 | 2017-11-15 |
| 1417467275 | Moses Cone Physician Services, Inc. | Family Medicine | 2525c Phillips Ave, Greensboro, NC 27405-5357 | 2017-10-06 |
| 1528412483 | Taye Tolcha Gonfa | Family Medicine | 1125 N. Church Street, Greensboro, NC 27401 | 2016-04-18 |
| 1962889592 | Alvin Caldwell Powell Jr. | Family Medicine | 1200 N Elm St # 3509, Greensboro, NC 27401 | 2015-05-04 |
| 1518398098 | Novant Medical Group, Inc | Family Medicine | 6316 Old Oak Ridge Rd, Suite E, Greensboro, NC 27410-9940 | 2013-12-09 |
| 1184055667 | Novant Medical Group, Inc | Family Medicine | 501 Hickory Branch Road, Greensboro, NC 27409 | 2013-12-09 |
| 1861731192 | Alice Ingram | Family Medicine | 1301 W Wendover Ave Ste A, Greensboro, NC 27408-8123 | 2013-02-06 |
| Find all providers in GREENSBORO | ||||
| City | GREENSBORO |
| Zip Code | 27410 |
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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.