Maplewood OB-GYN PLLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

26086 Issued in NC

Legal business name

MAPLEWOOD OB-GYN PLLC

Practice address

2830 C Maplewood Ave
Winston-Salem, NC 27103

Phone

(336) 760-2821

Fax

(336) 760-1076

NPI assigned

Apr 26, 2006

Last updated

Apr 24, 2008By 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

Dr. Thomas Lawrence Brown, MD

Title

Owner

Phone

(336) 760-2821

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208995200000",
    "number": "1154387181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2830 MAPLEWOOD AVE STE C",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271034114",
            "telephone_number": "336-760-2821",
            "fax_number": "336-760-1076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2830 C MAPLEWOOD AVE",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "27103",
            "telephone_number": "336-760-2821",
            "fax_number": "336-760-1076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLEWOOD OB-GYN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-26",
        "last_updated": "2008-04-24",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-760-2821",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "26086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890278P",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Edwin Manthey, MD
• Megan Bumgarner Manuel, NP
• Tanying Mao, MD
• Megan Hui-Fen Mapes
• Lois Jean Maple, P.T.
• Maplewood Psychiatric Associates, PA
• Tychanna Mapp
• Heather Danielle Maradiaga, PA-C
• Ahmed Maraey, M.D.
• Hima Maramreddy, M.D.

• Obstetrics & Gynecology Physician in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Obstetrics & Gynecology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; 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.