NOVANT MEDICAL GROUP INC. (NPI# 1568973360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568973360 |
| Entity Type | Organization |
| Organization Name | NOVANT MEDICAL GROUP INC. |
| Other Organization Name | NOVANT HEALTH CARDIOLOGY GREENSBORO |
| Practice Address |
1622 Highwoods Blvd Unit G105 Greensboro NC 27410 |
| Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
| Practice Telephone | 3366605220 |
| Practice Fax Number | 3366605229 |
| Mailing Telephone | 3362772000 |
| Enumeration Date | 2017-10-19 |
| Last Update Date | 2018-06-06 |
| Authorized Official Name | GEOFFREY K GARDNER (VP OF FINANCE) |
| Authorized Official Telephone | 7043847840 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
Allopathic & Osteopathic Physicians | ||
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Novant Health Cardiology Greensboro | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255825410 | Novant Medical Group Inc. | Family Medicine | 15033 Balloncroft Parkway, Suite 200, Charlotte, NC 28277 | 2018-06-20 |
| 1750788659 | Novant Medical Group Inc. | Obstetrics & Gynecology | 301 Executive Park Blvd, Winston Salem, NC 27103-1505 | 2014-11-21 |
| 1093292997 | Novant Medical Group Inc. | Internal Medicine | 6316 Old Oak Ridge Rd Ste E, Greensboro, NC 27410-9940 | 2018-07-24 |
| 1710432976 | Novant Medical Group Inc. | Orthopaedic Surgery | 2337 Winterhaven Ln, Winston Salem, NC 27103-6792 | 2016-08-17 |
| 1346632676 | Novant Medical Group Inc. | Family Medicine | 490 Pineview Dr Ste A, Kernersville, NC 27284-3995 | 2015-02-24 |
| 1619398070 | Novant Medical Group Inc. | Internal Medicine | 1718 E 4th St, Suite 401, Charlotte, NC 28204-3261 | 2014-01-02 |
| 1457782849 | Novant Medical Group Inc. | Podiatrist | 445 Pineview Dr, Suite 230, Kernersville, NC 27284-3817 | 2013-12-10 |
| 1437588506 | Novant Medical Group Inc. | Podiatrist | 3641 Westgate Center Cir, Suite A, Winston Salem, NC 27103-2936 | 2013-11-08 |
| 1134558752 | Novant Medical Group Inc. | Obstetrics & Gynecology | 245 Charlois Blvd, Winston Salem, NC 27103-1507 | 2013-11-04 |
| 1346548898 | Novant Medical Group Inc. | Family Medicine | 8430 University Exec Park Dr Ste 685, Charlotte, NC 28262-1337 | 2011-03-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | Novant Medical Group Inc. | 2626 Glenwood Ave Ste 550, Raleigh, NC 27608 |
| Virginia Business Entities | Novant Medical Group Inc. | 2085 Frontis Plaza Blvd, Winston Salem, North Carolina 27103 |
| Street Address |
1622 HIGHWOODS BLVD UNIT G105 |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982106472 | Novant Medical Group. Inc | Orthopaedic Surgery | 1622 Highwoods Blvd Unit G105, Greensboro, NC 27410 | 2018-03-01 |
| 1437657103 | Novant Medical Group, Inc. | Orthopaedic Surgery | 1622 Highwoods Blvd Unit G105, Greensboro, NC 27410-2048 | 2018-01-29 |
| 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 |
| 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 |
| 1043749476 | Kasey Lynn Hoyer | Occupational Therapy Assistant | 3901 Battleground Ave., Greensboro, NC 27410 | 2017-06-08 |
| Find all providers in zip 27410 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1174619795 | Ajay S Kadakia | Internal Medicine | 108 E Northwood St, Greensboro, NC 27401-1310 | 2006-10-04 |
| 1639275381 | Mohan N Harwani | Internal Medicine | 104 W Northwood St, Suite E, Greensboro, NC 27401-1326 | 2006-09-16 |
| 1306942578 | Jagadeesh Rudrappa Ganji | Internal Medicine | 1910 N Church St Ste A, Greensboro, NC 27405-5665 | 2006-09-15 |
| 1407812936 | Jerome Oscar Spruill | Internal Medicine | 1307 N Elm St, Greensboro, NC 27401-6307 | 2006-04-24 |
| 1861487548 | John Reed Tysinger | Internal Medicine | 1511 Westover Ter, Suite 201, Greensboro, NC 27408-7128 | 2005-09-19 |
| 1841617461 | Weintraub Cardiology Pllc | Internal Medicine | 3200 Northline Ave Ste 250, Greensboro, NC 27408-7619 | 2014-03-20 |
| 1437596269 | Wesley Thomas O'neal | Internal Medicine | 3200 Northline Ave Ste 250, Greensboro, NC 27408-7619 | 2013-06-03 |
| 1841560992 | Jerome O Spruill Md Pa | Internal Medicine | 1307 N Elm St, Greensboro, NC 27401-6307 | 2012-01-06 |
| 1982998159 | Piedmont Cardiovascular, P.a. | Internal Medicine | 1910 N Church St Ste A, Greensboro, NC 27405-5665 | 2011-06-06 |
| 1942466230 | Novant Medical Group, Inc. | Internal Medicine | 1002 N Church St, Suite 103, Greensboro, NC 27401-1439 | 2008-08-06 |
| Find all providers in GREENSBORO | ||||
| City | GREENSBORO |
| Zip Code | 27410 |
Please comment or provide details below to improve the information on NOVANT MEDICAL GROUP INC..
| 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.