Northwest Pediatrics Inc

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

9500061 Issued in NC

Legal business name

NORTHWEST PEDIATRICS INC

Practice address

4529 Jessup Grove Road
Greensboro, NC 27410

Phone

(336) 605-0190

Fax

(336) 605-0930

NPI assigned

Jan 5, 2007

Last updated

Sep 16, 2019By 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

Mrs. Samantha Honaker Turner

Title

Practice Manager

Phone

(336) 605-0190

Specialties & licenses 1

Addresses

Other identifiers 1

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

CLIA laboratory certificates

Practitioners 3

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.

• Donna Pearl Brandon, PA

  • Physician Assistant
  • Summerfield, NC
  • NPI 1295052223
  NPD (past)
• Alan W. Cooper, M.D.

  • Pediatrics Physician
  • Greensboro, NC
  • NPI 1114096641
  NPD (past)
• Ekaterina Vapne, MD

  • Pediatrics Physician
  • Greensboro, NC
  • NPI 1275602708
  NPD (past)

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568592000000",
    "number": "1336296698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4529 JESSUP GROVE ROAD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "27410",
            "telephone_number": "336-605-0190",
            "fax_number": "336-605-0930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4529 JESSUP GROVE ROAD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "27410",
            "telephone_number": "336-605-0190",
            "fax_number": "336-605-0930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST PEDIATRICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2019-09-16",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "HONAKER",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "336-605-0190",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "9500061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89012NN",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• North Carolina Personal Care Services LLC (North Carolina Personal Care Services)
• North Carolina Physicians Eyecare Group, P.C.
• North Carolina Plastic Surgery Center
• North Elam Ambulatory Surgery Center, LLC
• Madison Rose Northrup
• Heather Kristine Norton, CRNA
• Elaine Margaret Nosal, OTRL
• Anthony Frank Nottage III, DDS
• Nicholas Bryce Nottage, DDS
• Elizabeth Tilley Nottingham, PA-C

• Pediatrics Physician in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Pediatrics Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.