MOSES CONE AFFILIATED PHYSICIANS, INC. (NPI# 1972949949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972949949 |
| Entity Type | Organization |
| Organization Name | MOSES CONE AFFILIATED PHYSICIANS, INC. |
| Other Organization Name | GLEN RAVEN MEDICAL CARE CENTER |
| Practice Address |
1611 Flora Ave Burlington NC 27217-1017 |
| Practice Telephone | 3362705622 |
| Mailing Telephone | 3362705622 |
| Enumeration Date | 2013-05-17 |
| Last Update Date | 2013-05-17 |
| Authorized Official Name | ROBERT LEE GOLDSTEIN (EXECUTIVE VICE PRESIDENT) |
| Authorized Official Telephone | 3368326250 |
| Is Organization Subpart | Y |
| Parent Organization Name | THE MOSES H. CONE MEMORIAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Glen Raven Medical Care Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619270360 | Moses Cone Affiliated Physicians, Inc. | Obstetrics & Gynecology | 1200 N. Elm St, Moses Cone Health System, Asb, Ste 201, Greensboro, NC 27401-1020 | 2010-12-17 |
| 1659673838 | Moses Cone Affiliated Physicians, Inc. | Internal Medicine | 1200 N Elm Street, Moses Cone Health System, Administrativeservices,ste201, Greensboro, NC 27401-1020 | 2010-11-22 |
| 1225338478 | Moses Cone Affiliated Physicians, Inc. | Internal Medicine | 1002 N Church St Ste 202, Greensboro, NC 27401-1448 | 2010-10-21 |
| 1710293774 | Moses Cone Affiliated Physicians, Inc. | Durable Medical Equipment & Medical Supplies | 220 Foust St Ste B, Asheboro, NC 27203-5586 | 2010-08-27 |
| 1114233236 | Moses Cone Affiliated Physicians, Inc. | Durable Medical Equipment & Medical Supplies | 1680 Westbrook Ave, Burlington, NC 27215-9700 | 2010-08-26 |
| 1437643988 | Moses Cone Affiliated Physicians, Inc. | Family Medicine | 350 N Cox St Ste 28, Asheboro, NC 27203-5514 | 2018-06-19 |
| 1194245084 | Moses Cone Affiliated Physicians, Inc. | Advanced Practice Midwife | 1091 Kirkpatrick Rd, Burlington, NC 27215-9714 | 2017-06-22 |
| 1033526181 | Moses Cone Affiliated Physicians, Inc. | Urology | 283 White Oak St, Asheboro, NC 27203-5431 | 2014-07-21 |
| 1538593850 | Moses Cone Affiliated Physicians, Inc. | Ophthalmology | 515 Thompson St, Suite A., Eden, NC 27288-5068 | 2013-08-22 |
| 1770821233 | Moses Cone Affiliated Physicians, Inc. | Psychiatry & Neurology | 912 3rd St, Suite 101, Greensboro, NC 27405-6967 | 2013-01-17 |
| Street Address |
1611 FLORA AVE |
| City | BURLINGTON |
| State | NC |
| Zip Code | 27217-1017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174027197 | Robin Kecia Mann | Technician | 5044 George Miles Road, Burlington, NC 27217 | 2018-03-23 |
| 1003319302 | Universal Mental Health Services, Inc. | In Home Supportive Care | 2539 Hyde Street, Burlington, NC 27217 | 2018-03-13 |
| 1992229827 | Seth Isaac Barry | Pharmacist | 1009 W Main St., Burlington, NC 27217 | 2017-08-02 |
| 1639626153 | Nicole Spencer | Registered Nurse | 5270 Union Ridge Road, Burlington, NC 27217 | 2016-09-01 |
| 1649623869 | Deinyell Chelley | Community Health Worker | 2536 Mckinney Street, Burlington, NC 27217 | 2016-07-22 |
| 1093157240 | Alamance Academy, LLC | Community/Behavioral Health | 530 Rosenwald St, Burlington, NC 27217 | 2013-07-29 |
| 1063851897 | Talley Family Care | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2266 Fitch Road, Burlington, NC 27217 | 2013-06-14 |
| 1851739643 | Falcon Crest Residential | Community/Behavioral Health | 3309a N Nc Highway 49, Burlington, NC 27217 | 2013-06-13 |
| 1033554878 | Janice Putnam | Dietitian, Registered | 319 N Graham - Hopedale Road, Burlington, NC 27217 | 2013-05-07 |
| 1811226723 | Moving Forward | Community/Behavioral Health | 1146 N. Church St., Ste. A, Burlington, NC 27217 | 2009-12-24 |
| Find all providers in zip 27217 | ||||
| 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 |
|---|---|---|---|---|
| 1245673284 | Brian B Agbor-etang | Internal Medicine | 1236 Huffman Mill Rd Ste 130, Burlington, NC 27215-8700 | 2013-04-09 |
| 1053528554 | Muhammad Arida | Internal Medicine | 1225 Huffman Mill Rd Ste 202, Burlington, NC 27215-8789 | 2007-05-16 |
| 1821122722 | Yasmin Masood | Internal Medicine | 111 Cholchester Ave, Fahc Uvm, Burlington, VT 05401 | 2007-03-15 |
| 1598868499 | Matthew Wells Watkins | Internal Medicine | Card Unit, Mcclure 1, Fahc, Burlington, VT 05401 | 2006-09-06 |
| 1841302387 | David M. Venesy | Internal Medicine | Lahey Clinic Cardiology -5 E, 41 Mall Road, Burlington, MA 01805 | 2006-08-31 |
| 1932196938 | Ghulam Muqtada Chaudhry | Internal Medicine | 41 Mall Rd., Lahey Clinic, Inc., Burlington, MA 01805-0001 | 2005-10-04 |
| 1750376380 | Darryl D Esakof | Internal Medicine | 41 Mall Road, Department of Cardiovascular Medicine, Lahey Clinic, Burlington, MA 01805 | 2005-09-20 |
| 1023624657 | Healthone Heart Care LLC | Internal Medicine | 286 16th St, Burlington, CO 80807-1651 | 2020-09-18 |
| 1083052252 | Ahmed A Harhash | Internal Medicine | 111 Colchester Ave, Burlington, VT 05401-1473 | 2013-06-11 |
| 1689930612 | Robert L Richmond | Internal Medicine | 248 Mchenry St, Burlington, WI 53105-1828 | 2012-04-03 |
| Find all providers in BURLINGTON | ||||
| City | BURLINGTON |
| Zip Code | 27217 |
Please comment or provide details below to improve the information on MOSES CONE AFFILIATED PHYSICIANS, 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.