Richard M Pavelock (NPI# 1487739579, PAC ID# 8628050820) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1487739579 |
| PAC ID by PECOS | 8628050820 |
| Professional Enrollment ID | I20100323000478 |
| Full Name | Richard M Pavelock |
| Organization Legal Name | TRIAD MEDICAL GROUP PA |
| Address |
2031 Martin Luther King Jr Dr Suite A Greensboro NC 27406-3300 |
| Phone Number | 3367909787 |
| Gender | M |
| Graduation Year | 1986 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 4183900210 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340008 | SCOTLAND MEMORIAL HOSPITAL |
| 340017 | MARGARET R PARDEE MEMORIAL HOSPITAL |
| 340115 | FIRSTHEALTH MOORE REGIONAL HOSPITAL |
| 340051 | WATAUGA MEDICAL CENTER |
| 340144 | DAVIS REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2031 Martin Luther King Jr Dr, Suite A, Greensboro, NC 27406-3300 | 3367909787 | TRIAD MEDICAL GROUP PA |
| 190 Commerce Blvd, Statesville, NC 28625-8526 | 7048723257 | LIFE ENHANCEMENT MEDICAL SERVICES PLLC |
| Organization Legal Name | TRIAD MEDICAL GROUP PA |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Donna F Odem | Nurse Practitioner | Triad Medical Group Pa | 2031 Martin Luther King Jr Dr, Suite A, Greensboro, NC 27406-3300 |
| Constance G Maslyar | Clinical Social Worker | Triad Medical Group Pa | 2031 Martin Luther King Jr Dr, Suite A, Greensboro, NC 27406-3300 |
| Jessica N Mcculley | Internal Medicine | Triad Medical Group Pa | 2031 Martin Luther King Jr Dr, Suite A, Greensboro, NC 27406-3300 |
| Street Address |
2031 MARTIN LUTHER KING JR DR SUITE A |
| City | GREENSBORO |
| State | NC |
| Zip | 27406-3300 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Donna F Odem | Nurse Practitioner | Triad Medical Group Pa | 2031 Martin Luther King Jr Dr, Suite A, Greensboro, NC 27406-3300 |
| Constance G Maslyar | Clinical Social Worker | Triad Medical Group Pa | 2031 Martin Luther King Jr Dr, Suite A, Greensboro, NC 27406-3300 |
| Jessica N Mcculley | Internal Medicine | Triad Medical Group Pa | 2031 Martin Luther King Jr Dr, Suite A, Greensboro, NC 27406-3300 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mohammad D Lateef | Psychiatry | 2401 Southside Blvd, Greensboro, NC 27406 | |
| Tamika J Lott | Family Medicine | Triad Adult and Pediatric Medicine, Inc. | 1002 S Eugene St, Greensboro, NC 27406-1308 |
| Robert Md Smith | Diagnostic Radiology | Rapid Radiology Inc | 2401 S Side Blvd, Greensboro, NC 27406-3311 |
| Charles Wayne Plummer | Anesthesiology | Knd Development 59 LLC | 2401 Southside Blvd, Greensboro, NC 27406-3311 |
| Asim S Otey | Physical Medicine and Rehabilitation | 2401 S Side Blvd, Greensboro, NC 27406-3311 | |
| Philip B Mcdonald | Diagnostic Radiology | Rapid Radiology Inc | 2401 S Side Blvd, Greensboro, NC 27406-3311 |
| Steven Wesley Bernstorf | Optometry | 2633 Randleman Rd, Greensboro, NC 27406-5107 | |
| Pamela D Bradley | Nurse Practitioner | Randleman Family Clinic Pllc | 2806 Randleman Rd, Suite J, Greensboro, NC 27406-5266 |
| Andrew K Matrone | Nurse Practitioner | 3301 Gar Pl, Greensboro, NC 27406-5625 | |
| Kimberly Niles Newton | Family Medicine | The Moses H Cone Memorial Hospital Operating Corporation | 3711 Elmsley St, Greensboro, NC 27406-7040 |
| Find all physicians in zip 27406 | |||
| City | GREENSBORO |
| Zip Code | 27406 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | GREENSBORO + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Richard M Pavelock.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.