Active NPI
Susan Cragin Ireton, PA-C
- Surgical Physician Assistant
- Greensboro, NC
National Provider Identifier
1336196658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 101205
- Practice address
- 1130 N Church St
Suite 100
Greensboro, NC 27401-1008 - Phone
- (336) 375-2300
- Fax
- (336) 375-2313
- NPI assigned
- May 30, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 101205 | NC | |
| Surgical Physician Assistant | 363AS0400X | 101205 | NC | Primary |
Addresses
Primary practice location
1130 N Church St
Suite 100
Greensboro, NC 27401-1008
Mailing address
1130 N Church St
Suite 100
Greensboro, NC 27401-1008
Phone (336) 375-2300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101205 | NC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Neurosurgery, PA | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Specialist
- Greensboro, NC
- NPI 1699737726
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215475200000",
"number": "1336196658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1130 N CHURCH ST",
"address_2": "SUITE 100",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274011008",
"telephone_number": "336-375-2300",
"fax_number": "336-375-2313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1130 N CHURCH ST",
"address_2": "SUITE 100",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274011008",
"telephone_number": "336-375-2300",
"fax_number": "336-375-2313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IRETON",
"first_name": "SUSAN",
"middle_name": "CRAGIN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-30",
"last_updated": "2008-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "101205",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "NC",
"license": "101205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.