Irma Mariana Santiago Lago, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2018-00102 Issued in NC

Practice address

102 Pomona Dr
Greensboro, NC 27407

Phone

(336) 299-0000

Fax

(336) 299-2335

NPI assigned

Mar 30, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Irma Mariana Santiago Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: isantiago430661@direct.conehealth.com
• Direct secure messaging: irmasantiagolago@hodgesfp.allscriptsdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hodges Family Practice, Inc

  • Family Medicine Physician
  • Asheboro, NC
  • NPI 1841317112
  NPD

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

{
    "created_epoch": "1238371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633046400000",
    "number": "1184866675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 POMONA DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274071616",
            "telephone_number": "336-299-0000",
            "fax_number": "336-299-2335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 POMONA DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "27407",
            "telephone_number": "336-299-0000",
            "fax_number": "336-299-2335"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "805 Tom Foy Blvd",
            "address_2": "HMS Bayard Community Health Center",
            "address_purpose": "LOCATION",
            "city": "Bayard",
            "state": "NM",
            "postal_code": "880239767",
            "country_code": "US",
            "telephone_number": "575-537-5068",
            "fax_number": "575-542-2388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANTIAGO LAGO",
        "first_name": "IRMA",
        "middle_name": "MARIANA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-30",
        "last_updated": "2021-10-01",
        "certification_date": "2021-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "MD2012-0350",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2018-00102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85784842",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "NMA102941",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "isantiago430661@direct.conehealth.com",
            "affiliation": "N",
            "endpointDescription": "Cone Direct Message",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "102 Pomona Dr",
            "city": "Greensboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "27407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "IRMA",
            "last_name": "SANTIAGO",
            "middle_name": "MARIANA",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Melanie Bernadette Sanford, M.D.
• Ryan B Sanford, M.D.
• Lynley Sangeorge, LCSW
• Heather Lynn Saninocencio, DPT
• Sante Counseling (Tommi Pait, LLC)
• Michelle Santiago
• Sarah Santiago, PA
• Santiya S. Bell DMD, PA
• Santiya S. Bell, DMD, PA
• Peter J Santogade, MD

• Family Medicine Physician in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2021; 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.