P F Blomgren & D C Keller PTR

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

200001392336 Issued in NC

Legal business name

P F BLOMGREN & D C KELLER PTR

Doing business as

Greensboro Family Practice Associates LLP

Practice address

317 W Wendover Ave
Greensboro, NC 27408-8401

Phone

(336) 553-0045

Fax

(336) 553-0505

NPI assigned

Dec 20, 2006

Last updated

Oct 6, 2010By 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. Peter F Blomgren, M.D.NPI 1962565085

Title

Managing Partner

Phone

(336) 553-0045

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Greensboro Family Practice Associates LLP Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Peter Frederick Blomgren, M.D.

  • Family Medicine Physician
  • Greensboro, NC
  • NPI 1962565085
  NPD (past) Authorized official
• Carlos Mario Oliveira, MD

  • Gynecology Physician
  • Melbourne, FL
  • NPI 1588648687
  NPD (past)

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286323200000",
    "number": "1326102021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 W WENDOVER AVE",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274088401",
            "telephone_number": "336-553-0045",
            "fax_number": "336-553-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 W WENDOVER AVE",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274088401",
            "telephone_number": "336-553-0045",
            "fax_number": "336-553-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P F BLOMGREN & D C KELLER PTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2010-10-06",
        "status": "A",
        "authorized_official_last_name": "BLOMGREN",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "336-553-0045",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "200001392336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO",
            "identifier": "1311190001",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01667",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89016679",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greensboro Family Practice Associates LLP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ruth Lee Owens, LCAS
• Madison Owsley, DMD
• Todd Gene Owsley, DDS MD
• Snehal Pinakin Oza, RPH
• Jennifer Michelle Ozan, D.O.
• Jennifer Waring Paa, PT
• Vonda Wardlaw Pabon, RN
• Brian M Pacanowski, PHARM. D.
• Pace of Guilford and Rockingham Counties, Inc (PACE of the Triad)
• Collier Stephens Pace, 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 6, 2010; 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.