TIMA WELLNESS PA (NPI# 1609260942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609260942 |
Entity Type | Organization |
Organization Name | TIMA WELLNESS PA |
Practice Address |
1591 Yanceyville Street Suite 200a Greensboro NC 27405-6941 |
Practice Telephone | 3369073006 |
Practice Fax Number | 3366638421 |
Mailing Telephone | 3369073006 |
Mailing Fax Number | 3362301761 |
Enumeration Date | 2015-03-25 |
Last Update Date | 2017-11-30 |
Authorized Official Name | BYRON GLADDEN (PRACTICE MANAGER) |
Authorized Official Telephone | 3369073006 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207R00000X | Internal Medicine | 95-01417 | NC | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 8975633 | 05 |
Street Address |
1591 YANCEYVILLE STREET SUITE 200A |
City | GREENSBORO |
State | NC |
Zip Code | 27405-6941 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477038727 | Miya Jackson | Behavior Technician | 2308 Golden Gate Dr, Apt G, Greensboro, NC 27405 | 2018-10-02 |
1821576299 | Woodrow Eric Bradley | Day Training/Habilitation Specialist | 1403 Woocbriar Ave, Greensboro, NC 27405 | 2018-07-30 |
1922593094 | Constance Foushee | Nurse Practitioner | 1100 E. Wendover, Greensboro, NC 27405 | 2018-06-29 |
1760972434 | Ayana Linette Holland | Home Health Aide | 1417 Old Hickory Dr, Greensboro, NC 27405 | 2018-05-17 |
1790294700 | G. Antoine Gray | Specialist | 2100 Phillips Avenue, Suite B, Greensboro, NC 27405 | 2017-09-21 |
1306375910 | Wendy Carisa Boger | Registered Nurse | 1100 East Wendover Avenue, Greensboro, NC 27405 | 2017-06-07 |
1659827715 | Changing Paths Counseling Center Pllc | Community/Behavioral Health | 1600 E Wendoer Ave., Suite C, Greensboro, NC 27405 | 2016-08-29 |
1295187896 | Amanda Kirby Counseling, PC | Counselor | 1175 Revolution Mill Drive, Suite 29-2, Greensboro, NC 27405 | 2016-07-07 |
1780049429 | Pta | Residential Treatment Facility, Physical Disabilities | 1900 Sheldon Road, Greensboro, NC 27405 | 2015-12-23 |
1841655644 | Amaya Nicole Hardy | Counselor | 1600r E Wendover Ave Ste R, Greensboro, NC 27405 | 2015-12-21 |
Find all providers in zip 27405 |
Taxonomy Code | 207R00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
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 |
---|---|---|---|---|
1811508591 | Guha Medical, Pa | Internal Medicine | 111 W Lewis St, Greensboro, NC 27406-1343 | 2020-08-14 |
1477173482 | Infinite Allure Pllc | Internal Medicine | 802 Green Valley Rd Ste 108, Greensboro, NC 27408-7099 | 2020-04-20 |
1679139372 | Iora Health North Carolina, P.C. | Internal Medicine | 3351 Battleground Ave., Greensboro, NC 27410 | 2019-05-17 |
1295265221 | Mobolaji Babatope Bakare Md PC | Internal Medicine | 3411 W Wendover Ave Ste D, Greensboro, NC 27407-1526 | 2017-06-13 |
1457703530 | Chereena C Walker | Internal Medicine | 2705 Kings Mill Rd, Greensboro, NC 27407-6429 | 2016-07-12 |
1861806366 | Omair Sheikh | Internal Medicine | 1200 N Elm St # 2c314, Greensboro, NC 27401-1004 | 2014-06-12 |
1558709535 | Medlink Medical Associates, Pa | Internal Medicine | 2031 Martin Luther King Jr Dr Ste A, Greensboro, NC 27406-3300 | 2013-06-12 |
1518300474 | Carole Ngankeu Hall | Internal Medicine | 300 E Wendover Ave Fl 3, Greensboro, NC 27401-1229 | 2013-04-10 |
1013265909 | The Moses H. Cone Memorial Hospital Operating Corporation | Internal Medicine | 509-e North Elam Avenue, 3rd Floor, Greensboro, NC 27403-1129 | 2012-08-27 |
1134476682 | Edgar Seymour Marks | Internal Medicine | 5 Fountain Manor Dr Apt B, Greensboro, NC 27405-8035 | 2012-08-14 |
Find all providers in GREENSBORO |
City | GREENSBORO |
Zip Code | 27405 |
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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.