Organization Active NPI

Geriatric Healthcare Services, P.C.

  • Geriatric Medicine (Family Medicine) Physician
  • Winston Salem, NC
National Provider Identifier
1063457562
Registry record updated Sep 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
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

Updated by the provider on Sep 24, 2007

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)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
8901KAMedicaidNC
012KAOtherNCBCBSNC
CH6935OtherNCRAIL ROAD MEDICARE

Other names 1

  • Maria Eugenia Iruela, M.D. Other name

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.