Medical Group of the Triad, PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MEDICAL GROUP OF THE TRIAD, PA

Practice address

215 W US Highway 64
Suite 1
Lexington, NC 27295-2567

Phone

(336) 242-1125

NPI assigned

Mar 8, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Timothy Kwiatkowski, MD

Title

President

Phone

(336) 242-1125

Specialties & licenses 2

Addresses

Other identifiers 3

Locations

Practitioners 1

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

• Cathy Paarz-Largay, PA-C

  • Hematology & Oncology Physician
  • Durham, NC
  • NPI 1730263625
  NPD

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

{
    "created_epoch": "1457395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457395200000",
    "number": "1285095034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 W US HIGHWAY 64",
            "address_2": "SUITE 1",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "272952567",
            "telephone_number": "336-242-1125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 W US HIGHWAY 64",
            "address_2": "SUITE 1",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "272952567",
            "telephone_number": "336-242-1125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL GROUP OF THE TRIAD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-08",
        "last_updated": "2016-03-08",
        "status": "A",
        "authorized_official_last_name": "KWIATKOWSKI",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-242-1125",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL SHENOA RONDEAU",
            "identifier": "1396910345",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI PERSONAL KRISTI MAULDIN",
            "identifier": "1285658906",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL TIM KWIATKOWSKI",
            "identifier": "1689661761",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Crystal K McNeely, COTA/L
• Diana Elizabeth McNeil, NP-C
• John B McWhorter, OD
• Thomas S. McWhorter, OD
• Medical Facilities of America LXXV (75) LP (Lexington Health Care Center)
• Orien Ray Medley
• Melissa J. Medlin
• Medstaffpc
• Amy Mercer, MS, LAT, ATC
• Hannah Jane Mercer, MS, LCMHCA, CRC

• Family Medicine Physician in Lexington, NC
• Providers in Lexington, 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 Mar 8, 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.