VANESSA K AJIZIAN (NPI# 1629002910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629002910 |
| Entity Type | Individual |
| Full Name | VANESSA K AJIZIAN |
| Credential | MD |
| Practice Address |
240 Broad St Kernersville NC 27284-2930 |
| Mailing Address |
Po Box 751803 Charlotte NC 28275-1803 |
| Practice Telephone | 3369938333 |
| Practice Fax Number | 3369935144 |
| Mailing Telephone | 3367183960 |
| Mailing Fax Number | 3367183998 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2020-10-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 2006-00408 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5904913 | 05 |
| Street Address |
240 BROAD ST |
| City | KERNERSVILLE |
| State | NC |
| Zip Code | 27284-2930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982682183 | Michael E. Albright | Pediatrics | 240 Broad St, Kernersville, NC 27284-2930 | 2006-01-06 |
| 1215420658 | Caroline Cloud Jones | Physician Assistant | 240 Broad St, Kernersville, NC 27284 | 2018-06-11 |
| 1770909699 | Jamila Palmer | Nurse Practitioner | 240 Broad St, Kernersville, NC 27284-2930 | 2014-03-17 |
| 1184939241 | Forsyth Medical Group, LLC | Pediatrics | 240 Broad St, Kernersville, NC 27284-2930 | 2010-08-13 |
| 1679506539 | Sabrina Michelle Lachowicz | Physician Assistant | 240 Broad St, Kernersville, NC 27284-2930 | 2006-07-07 |
| 1114985017 | Forsyth Medical Group LLC | Physician Assistant | 240 Broad St, Kernersville, NC 27284-2930 | 2006-05-02 |
| 1306808084 | George Kirk Walker | Pediatrics | 240 Broad St, Kernersville, NC 27284-2930 | 2006-04-06 |
| 1467413393 | Katherine D Wyatt | Counselor | 240 Broad St, Kernersville, NC 27284-2930 | 2006-03-30 |
| 1730149824 | Bill A Ricketts | Physician Assistant | 240 Broad St, Kernersville, NC 27284-2930 | 2006-03-24 |
| 1679532212 | Tammy Griffin Shimfessel | Nurse Practitioner | 240 Broad St, Dba Forsyth Pediatrics Assoicates - K'ville, Kernersville, NC 27284-2930 | 2006-03-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013549047 | Katie Lee Sherman | Student in an Organized Health Care Education/Training Program | 9372 Pumpkin Ridge Rd, Kernersville, NC 27284 | 2020-02-07 |
| 1861049231 | Bethany Medical Center | Internal Medicine | 975 Hwy 66 S, Kernersville, NC 27284 | 2019-08-21 |
| 1114490810 | Lindsey Sarvis | Social Worker | 2301 Lake Shore Reserve Court, Kernersville, NC 27284 | 2019-01-04 |
| 1073091088 | Gastroenterology Associates of The Piedmont, P.a. | Internal Medicine | 445 Pineview Dr Ste 200b, Kernersville, NC 27284 | 2018-08-01 |
| 1942786629 | Brea Anjanee' Washington | Nurse Practitioner | 1635 Nc 66 South, Suite 145, Kernersville, NC 27284 | 2018-07-16 |
| 1992216246 | Charley Elizabeth Cummings | Physician Assistant | 1635 Nc-66, Kernersville, NC 27284 | 2017-10-13 |
| 1902324304 | Susan Marie Garcia | Counselor | 822 Old Winston Road, Suite 5, Kernersville, NC 27284 | 2017-09-06 |
| 1871034603 | Ljp Lab LLC | Clinical Medical Laboratory | 495 Arbor Hill Rd Ste S, Kernersville, NC 27284 | 2017-03-13 |
| 1912446253 | Knew Era Consulting | Counselor | 335 Creekview Drive, Kernersville, NC 27284 | 2017-02-20 |
| 1144686593 | Amber Moore | Counselor | 822 Old Winston Rd, Suite 5, Kernersville, NC 27284 | 2016-01-14 |
| Find all providers in zip 27284 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376055087 | Shelley Rickman | Pediatrics | 861 Old Winston Rd Ste 103, Kernersville, NC 27284-7141 | 2017-11-03 |
| 1902332406 | Forsyth Medical Group LLC | Pediatrics | 1471 Jag Branch Rd, Suite 101, Kernersville, NC 27284-6956 | 2017-05-04 |
| 1427344985 | Kristin Dickson | Pediatrics | 111 Gateway Center Drive, Kernersville, NC 27284-2999 | 2011-06-23 |
| 1740599778 | Forsyth Medical Group, LLC | Pediatrics | 1471 Jag Branch Blvd Ste 101, Kernersville, NC 27284-6956 | 2010-09-24 |
| 1144468083 | Highroad Pediatrics, Pa | Pediatrics | 815 Old Winston Rd, Kernersville, NC 27284-7121 | 2009-01-30 |
| 1356388540 | Leslie Rierson Smith | Pediatrics | 861old Winston Road, Suite 103, Kernersville, NC 27284 | 2006-05-31 |
| 1982682183 | Michael E. Albright | Pediatrics | 240 Broad St, Kernersville, NC 27284-2930 | 2006-01-06 |
| 1205836541 | Rebecca P Ball | Pediatrics | 861 Old Winston Rd Ste 101, Kernersville, NC 27284-7141 | 2005-07-28 |
| 1316382559 | Cornerstone Health Care LLC | Pediatrics | 110 Harmon Ln, Suite A, Kernersville, NC 27284-3472 | 2013-05-01 |
| 1184939241 | Forsyth Medical Group, LLC | Pediatrics | 240 Broad St, Kernersville, NC 27284-2930 | 2010-08-13 |
| Find all providers in KERNERSVILLE | ||||
| City | KERNERSVILLE |
| Zip Code | 27284 |
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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.