Triad Adult and Pediatric Medicine, Inc.

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

TRIAD ADULT AND PEDIATRIC MEDICINE, INC.

Doing business as

TAPM Family Medicine at East Market Street

Practice address

1102 E Market St
Greensboro, NC 27401-6056

Phone

(336) 274-1507

NPI assigned

Oct 1, 2015

Last updated

Mar 22, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Michelle Lewis

Title

Interim Ceo

Phone

(336) 355-9715

Specialties & licenses 1

Addresses

Other names 1

• TAPM Family Medicine at East Market Street Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1443657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458604800000",
    "number": "1063882165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 S EUGENE ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274061308",
            "telephone_number": "336-355-9715",
            "fax_number": "336-763-2896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 E MARKET ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274016056",
            "telephone_number": "336-274-1507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIAD ADULT AND PEDIATRIC MEDICINE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-01",
        "last_updated": "2016-03-22",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "INTERIM CEO",
        "authorized_official_telephone_number": "336-355-9715",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TAPM Family Medicine at East Market Street",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Triad Adult and Pediatric Medicine Inc (Triad Adult and Pediatric Med- Greensboro Pharmacy)
• Triad Adult and Pediatric Medicine, Inc.
• Triad Adult and Pediatric Medicine, Inc.
• Triad Adult and Pediatric Medicine, Inc.
• Triad Adult and Pediatric Medicine, Inc. (HealthServe North East)
• Triad Adult and Pediatric Medicine, Inc. (Family Medicine at Northwood)
• Triad Adult and Pediatric Medicine, Inc. (Guilford Child Health-Wendover)

• Federally Qualified Health Center (FQHC) in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Federally Qualified Health Center (FQHC) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; 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.