Active NPI
Geriatric Healthcare Services, P.C.
- Geriatric Medicine (Family Medicine) Physician
- Winston Salem, NC
National Provider Identifier
1063457562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Family Medicine) Physician
- Legal business name
- GERIATRIC HEALTHCARE SERVICES, P.C.
- Practice address
- 4016 Huntscroft LN
Winston Salem, NC 27106-4777 - Phone
- (336) 245-2764
- Fax
- (336) 245-2765
- NPI assigned
- Jun 18, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carlos M Iruela
- Title
- Office Manager
- Phone
- (336) 245-2764
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | Primary |
Addresses
Primary practice location
4016 Huntscroft LN
Winston Salem, NC 27106-4777
Mailing address
PO Box 24416
Winston Salem, NC 27114-4416
Phone (336) 245-2764
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8901KA | Medicaid | NC | |
| 012KA | Other | NC | BCBSNC |
| CH6935 | Other | NC | RAIL ROAD MEDICARE |
Other names 1
- Maria Eugenia Iruela, M.D.
National Provider Directory
National Provider DirectoryLocations
728 Piney Grove Rd
Kernersville, NC 27284
Phone (336) 966-4038
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Adult Health Nurse Practitioner
- Greensboro, NC
- NPI 1942533120
-
- Medical Physician Assistant
- Kernersville, NC
- NPI 1649275710
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150588800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1190592000000",
"number": "1063457562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 24416",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271144416",
"telephone_number": "336-245-2764",
"fax_number": "336-923-2189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4016 HUNTSCROFT LN",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271064777",
"telephone_number": "336-245-2764",
"fax_number": "336-245-2765"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GERIATRIC HEALTHCARE SERVICES, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-18",
"last_updated": "2007-09-24",
"status": "A",
"authorized_official_last_name": "IRUELA",
"authorized_official_first_name": "CARLOS",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "336-245-2764"
},
"taxonomies": [
{
"code": "207QG0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine, Geriatric Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8901KA",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSNC",
"identifier": "012KA",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "CH6935",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Maria Eugenia Iruela, M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.