NPIMap

Organization Active NPI

The Moses H. Cone Memorial Hospital Operating Corporation

  • Health Educator
  • Greensboro, NC
National Provider Identifier
1326524901
Registry record updated Jul 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
Legal business name
THE MOSES H. CONE MEMORIAL HOSPITAL OPERATING CORPORATION
Practice address
301 E Wendover Ave Ste 415
Greensboro, NC 27401-1211
Phone
(336) 832-3236
Fax
(336) 832-3241
NPI assigned
Jul 17, 2018
Organization subpart
Yes
Parent organization
THE MOSES H. CONE MEMORIAL HOSPITAL OPERATING CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 17, 2018

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

Authorized official

Name
David Lawrence Kitzmiller
Title
Assistant Treasurer
Phone
(336) 832-7579

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health EducatorGroup: 193400000X SINGLE SPECIALTY GROUP 174H00000X Primary

Addresses

Primary practice location

301 E Wendover Ave Ste 415
Greensboro, NC 27401-1211

Mailing address

1200 N Elm St
Greensboro, NC 27401-1004
Phone (336) 832-7579

Other names 1

  • Cone Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181107002878 NC MDPP Supplier - in-Person MDPP Supplier 4587612445 Practice locations: Burlington, NC; Greensboro, NC; Reidsville, NC

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D0974046Cone Health Internal Medicine Center301 E Wendover Ave Suite 100, Greensboro, NC 27401Certificate of waiverMay 27, 2028

National Provider Directory

National Provider Directory
Tax ID family
Moses Cone Memorial Hos38 organizations share this tax ID, including this one
Part of
Moses Cone Memorial Hos

Other organizations with this tax ID 37

Organizations that report the same tax identification number in the National Provider Directory.

View all 37

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

1238 Grand Oaks Blvd
Burlington, NC 27215
Phone (336) 538-8100

1200 N Elm St
#41
Greensboro, NC 27401

1471 E Cone Blvd
Greensboro, NC 27405
Phone (336) 550-4040

NPI Registry JSON

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

{
    "created_epoch": "1531785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531785600000",
    "number": "1326524901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N ELM ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011004",
            "telephone_number": "336-832-7579",
            "fax_number": "336-832-7730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E WENDOVER AVE STE 415",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011211",
            "telephone_number": "336-832-3236",
            "fax_number": "336-832-3241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MOSES H. CONE MEMORIAL HOSPITAL OPERATING CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE MOSES H. CONE MEMORIAL HOSPITAL OPERATING CORPORATION",
        "enumeration_date": "2018-07-17",
        "last_updated": "2018-07-17",
        "status": "A",
        "authorized_official_last_name": "KITZMILLER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "ASSISTANT TREASURER",
        "authorized_official_telephone_number": "336-832-7579"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cone Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cone Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.