Triad Women's Center PA

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

TRIAD WOMEN'S CENTER PA

Practice address

4510 Premier Dr
Suite 102
High Point, NC 27265-8193

Phone

(336) 841-6574

Fax

(336) 841-6906

NPI assigned

Mar 24, 2006

Organization subpart

No

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

Authorized official

Name

Eleanor Elaine Greene, MDNPI 1992790968

Title

President

Phone

(336) 841-6574

Specialties & licenses 1

Addresses

Other identifiers 5

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eleanor Elaine Greene, M.D.

  • Obstetrics & Gynecology Physician
  • High Point, NC
  • NPI 1992790968
  NPD (past) Authorized official

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235001600000",
    "number": "1194785071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4510 PREMIER DR",
            "address_2": "SUITE 102",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272658193",
            "telephone_number": "336-841-6574",
            "fax_number": "336-841-6906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4510 PREMIER DR",
            "address_2": "SUITE 102",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272658193",
            "telephone_number": "336-841-6574",
            "fax_number": "336-841-6906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIAD WOMEN'S CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-24",
        "last_updated": "2009-02-19",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "ELEANOR",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-841-6574",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PIN #",
            "identifier": "141XT",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8937039",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5902270",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS GROUP",
            "identifier": "017UR",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PIN #",
            "identifier": "37039",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Triad Eye Associates of High Point OD PA
• Triad Medical Transportation
• Triad Outreach Center, Inc. (The Healthcare Training Center)
• Triad Pediatrics, PC
• Triad Primary Health and Wellness, PLLC
• Triad Women's Health and Wellness Center
• Triad Women's Health and Wellness Center
• Triad Youth Services, Inc
• Isabella Trichilo, OTR
• Maura L. Trimble, RN BSN

• Obstetrics & Gynecology Physician in High Point, NC
• Providers in High Point, 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 Feb 19, 2009; 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.