KATHRYN MCCONNELL GREVEN


Address: Medical Center Blvd, Winston Salem, NC 27157-0001
Phone: 3367133600

KATHRYN MCCONNELL GREVEN (NPI# 1972585339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1972585339
Entity Type Individual
Full Name KATHRYN MCCONNELL GREVEN
Credential MD
Practice Address Medical Center Blvd
Winston Salem
NC 27157-0001
Mailing Address Po Box 602658
Charlotte
NC 28260-2658
Practice Telephone 3367133600
Mailing Telephone 3367162011
Enumeration Date 2005-11-18
Last Update Date 2015-08-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0001X Radiology
Specialization: Radiation Oncology 		29115 NC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MEDCOST 42342 01
VA 7252269 05
WV 186147000 05
PARTNERS 4036 01
NC 8937203 05
AETNA 5508264 01
BCBS 37203 01

Office Location

Street Address MEDICAL CENTER BLVD
City WINSTON SALEM
State NC
Zip Code 27157-0001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1811990815 Gary Lee Ray Registered Nurse Medical Center Blvd, Winston Salem, NC 27157-0001 2005-05-23
1881295418 Alan Townes Grizzard Nurse Practitioner Medical Center Blvd, Winston Salem, NC 27157-0001 2020-11-02
1003421751 Nicholas Ryan Tuttle Nurse Anesthetist, Certified Registered Medical Center Blvd, Winston Salem, NC 27157-0001 2020-09-10
1356956122 Caitlin Marie Clement Nurse Anesthetist, Certified Registered Medical Center Blvd, Winston Salem, NC 27103 2020-09-09
1376154591 Lori Sansone Flores Nurse Practitioner Medical Center Blvd, Winston Salem, NC 27157-0001 2020-08-11
1821609330 Hannah Carey Walker Physician Assistant Medical Center Blvd, Winston Salem, NC 27157-0001 2020-08-10
1447876883 Raveena Mahesh Chhabria Student in an Organized Health Care Education/Training Program Medical Center Blvd, Winston Salem, NC 27157-0001 2020-06-22
1780205930 Jason Chin Student in an Organized Health Care Education/Training Program Medical Center Blvd, Winston Salem, NC 27157-1087 2020-04-29
1972122885 Bryanna Dean Vesely Student in an Organized Health Care Education/Training Program Medical Center Blvd, Winston Salem, NC 27157-0001 2020-04-10
1679102909 Ameen Barghi Student in an Organized Health Care Education/Training Program Medical Center Blvd, Winston Salem, NC 27157-2803 2020-04-07
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255960241 Alexandra Marie Balmaceda Student in an Organized Health Care Education/Training Program Wake Forest Baptist Medical Center Pathology Dept, #1 Medical Center Blvd., Winston-salem, NC 27157 2020-04-02
1164916680 Jorie Elizabeth Gatts Student in an Organized Health Care Education/Training Program Wake Forest Baptist Medical Department of Pediatrics, Winston Salem, NC 27157 2018-06-18
1932606555 Alexi Rae Ellington Webb Student in an Organized Health Care Education/Training Program Wake Forest School of Medicine, Dept of Psychiatry, Medical Center Blvd, Winston Salem, NC 27157 2018-04-10
1851896674 Wasim Muhammad Student in an Organized Health Care Education/Training Program Wake Forest School of Medicine Dept. of Psychiatry, Medical Center Blvd, Winston Salem, NC 27157 2018-03-25
1336643535 Phillip Martin Kostelic Student in an Organized Health Care Education/Training Program Anesthesiology - Wake Forest Baptist Medical Center, 1 Medical Center Blvd, Winston-salem, NC 27157 2018-03-21
1831693324 Aleah Bond Student in an Organized Health Care Education/Training Program Anesthesiology Wake Forest Baptist Medical Center, Medical Center Boulevard, Winston-salem, NC 27157 2018-03-20
1134644859 Ilan Binyamin Klein Urology Wake Forest Baptist Health, Department of Urology, Medical Center Boulevard, Winston-salem, NC 27157 2017-08-03
1023467529 Edward John Doyle IIi Student in an Organized Health Care Education/Training Program Wake Forest School of Medicine Dept. of Otolaryngology, Watlington Hall 4th Fl. Medical Center Boulevard, Winston-salem, NC 27157 2016-06-07
1477917888 Jordan Mae Burner Student in an Organized Health Care Education/Training Program Graduate Medical Education Office, Wake Forest Baptist Medical Center, Medical Center Blvd, Winston-salem, NC 27157 2016-04-12
1174900476 Kate Elise Winterbottom Speech-Language Pathologist 4 Janeway Medical Center Blvd, Hearing and Speech, Winston Salem, NC 27157 2015-05-06
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Taxonomy Information

Taxonomy Code 2085R0001X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Radiation Oncology

Taxonomy Definition

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
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 Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205214848 Ryan Thomas Hughes Radiology Medical Center Blvd, Winston Salem, NC 27157-0001 2015-05-15
1184069478 Philmo Youngmin Oh Radiology 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 2013-05-01
1184903205 Christina Kehl Cramer Radiology Medical Center Blvd, Winston Salem, NC 27157-0001 2011-08-07
1508094681 Jeffrey G Kuremsky Radiology 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 2009-06-26
1225151152 Michael David Chan Radiology Medical Center Blvd, Winston Salem, NC 27157-0001 2007-04-07
1326165663 Doris Brown Radiology Medical Center Blvd, Winston Salem, NC 27157-0001 2007-03-23
1356426548 James Anthony Palermo Radiology Medical Center Blvd, Winston Salem, NC 27157-0001 2006-10-26
1134219108 Piedmont Radiation Oncology P A Radiology 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 2006-10-13
1487747648 Beverly Dawn Moose Radiology 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 2006-10-02
1326131509 Judith Di Rocco Sears Radiology 3333 Silas Creek Pkwy, Winston Salem, NC 27103 2006-10-02
Find all providers in WINSTON SALEM

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City WINSTON SALEM
Zip Code 27157

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Dataset Information

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.

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