ARDMORE FAMILY PRACTICE P.A. (NPI# 1750342820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750342820 |
| Entity Type | Organization |
| Organization Name | ARDMORE FAMILY PRACTICE P.A. |
| Practice Address |
2805 Lyndhurst Ave Winston Salem NC 27103-4109 |
| Practice Telephone | 3366590076 |
| Practice Fax Number | 3366590272 |
| Mailing Telephone | 3366590076 |
| Mailing Fax Number | 3366590272 |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2009-08-20 |
| Authorized Official Name | MRS. DEBRA H. ALFORD (PRACTICE MANAGER) |
| Authorized Official Telephone | 3366590076 |
| Authorized Official Credential | LPN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 7902204 | 05 |
| Street Address |
2805 LYNDHURST AVE |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27103-4109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013514454 | Stephanie Draker | Nurse Practitioner | 2805 Lyndhurst Ave, Winston Salem, NC 27103-4109 | 2020-10-08 |
| 1558713370 | Eileen Margaret Tague | Nurse Practitioner | 2805 Lyndhurst Ave, Winston Salem, NC 27103-4109 | 2016-07-05 |
| 1225409758 | Nina Hundley | Nurse Practitioner | 2805 Lyndhurst Ave, Winston Salem, NC 27103-4109 | 2015-10-09 |
| 1851730741 | Heather Danielle Maradiaga | Physician Assistant | 2805 Lyndhurst Ave, Winston Salem, NC 27103-4109 | 2013-06-24 |
| 1578842894 | Rachel Marie Courtemanche | Physician Assistant | 2805 Lyndhurst Ave, Winston Salem, NC 27103-4109 | 2011-08-04 |
| 1952634396 | Caroline Golden Grandis | Nurse Practitioner | 2805 Lyndhurst Ave, Winston Salem, NC 27103-4109 | 2009-09-17 |
| 1245299262 | Susan Marie Dipert-scott | Nurse Practitioner | 2805 Lyndhurst Ave, Winston Salem, NC 27103-4109 | 2006-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124648126 | Kelly Anne Wales | Pharmacist | 3917-a Westpoint Boulevard, Winston-salem, NC 27103 | 2020-04-20 |
| 1386281533 | Elena Mcginty | Nurse Practitioner | 1225 Creekshire Way, Suite 270, Winston Salem, NC 27103 | 2019-12-06 |
| 1992359442 | Madeline Pryor | Pharmacist | 255 Charlois Drive, Winston Salem, NC 27103 | 2019-08-01 |
| 1215599584 | Palmetto Oxygen LLC | Durable Medical Equipment & Medical Supplies | 1100 S Stratford Road, Building B, Suite 420, Winston Salem, NC 27103 | 2019-07-07 |
| 1548734718 | Trivy Johnson | Specialist | 1384-b Westgate Center Dr., Winston Salem, NC 27103 | 2019-01-21 |
| 1447745047 | Novant Health Rehabilitation Hospital of Winston-salem, LLC | Rehabilitation Hospital | 2475 Hillcrest Center Circle, Winston Salem, NC 27103 | 2018-06-26 |
| 1346740206 | Joseph Miller | Physical Therapist | 1605 Westbrook Dr, Suite 103, Winston-salem, NC 27103 | 2018-02-17 |
| 1548779101 | Kristin Blow | Counselor | 3000 Bethesda Pl Ste 202, Winston Salem, NC 27103 | 2017-09-27 |
| 1891213443 | Alisha Dawn Wilson | Occupational Therapy Assistant | 2101 Homestead Hills Drive, Winston Salem, NC 27103 | 2017-09-05 |
| 1588186969 | Brandy Wilson | Social Worker | 153 Cameron Way Circle, Winston Salem, NC 27103 | 2017-07-07 |
| Find all providers in zip 27103 | ||||
| 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 |
|---|---|---|---|---|
| 1962048512 | Novant Medical Group, Inc | Family Medicine | 1400 Westgate Ctr Dr Ste 110, Winston Salem, NC 27103-3104 | 2019-11-19 |
| 1669026456 | Brandon Chase Barnette | Family Medicine | 1825 Denise Ln, Winston Salem, NC 27127-8850 | 2019-07-30 |
| 1649747999 | Darryl Landis | Family Medicine | 480 Stonegate Ln, Winston Salem, NC 27104-1825 | 2018-10-25 |
| 1063918670 | Cms Med Health and Wellness Pllc | Family Medicine | 3878 Oxford Station Way, Winston Salem, NC 27103-1340 | 2018-04-03 |
| 1083069082 | Michael Merz | Family Medicine | Wake Forest Family Medicine Residency, Medical Center Boulevard, Winston Salem, NC 27157-0001 | 2016-04-27 |
| 1225475023 | Novant Medical Group Inc | Family Medicine | 10479 N Nc Highway 109, 107a, Winston Salem, NC 27107-9643 | 2013-06-03 |
| 1598028987 | Urgent Cares of America North Carolina Inc. | Family Medicine | 310 S Stratford Rd, Winston Salem, NC 27103-1820 | 2012-06-20 |
| 1518224617 | Daniel Lewis Myers | Family Medicine | 10479 N Nc Highway 109 Ste 107a, Winston Salem, NC 27107-9884 | 2012-04-13 |
| 1982989828 | Urgent Cares of America North Carolina Inc | Family Medicine | 4937 Old Country Club Rd., Winston Salem, NC 27104-5068 | 2011-10-11 |
| 1558657403 | Laura Bartels Torres | Family Medicine | 50 Miller St Ste G, Winston Salem, NC 27104 | 2011-06-20 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27103 |
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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.