Organization Active NPI

Greensboro Podiatry Associates, P.a.

  • Podiatrist
  • Greensboro, NC
National Provider Identifier
1386736429
Registry record updated Jan 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
425 Issued in NC
Legal business name
GREENSBORO PODIATRY ASSOCIATES, P.A.
Practice address
530 N Elam Ave
Greensboro, NC 27403-1153
Phone
(336) 299-0271
Fax
(336) 299-8117
NPI assigned
Sep 28, 2006
Last updated
Jan 17, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2011

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

Authorized official

Name
Martha J Ajlouny, DPMNPI 1326048661
Title
Owner/Physician
Phone
(336) 299-0271

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 425 NC Primary

Addresses

Primary practice location

530 N Elam Ave
Greensboro, NC 27403-1153

Mailing address

530 N Elam Ave
Greensboro, NC 27403-1153
Phone (336) 299-0271

Other identifiers 1

IdentifierTypeStateIssuer
890804YMedicaidNC

National Provider Directory

National Provider Directory

Locations

530 N Elam Ave
Greensboro, NC 27403
Phone (336) 299-0271

601 Walter Reed Dr
Greensboro, NC 27403
Phone (336) 852-8540

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295222400000",
    "number": "1386736429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 N ELAM AVE",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274031153",
            "telephone_number": "336-299-0271",
            "fax_number": "336-299-8117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 N ELAM AVE",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274031153",
            "telephone_number": "336-299-0271",
            "fax_number": "336-299-8117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENSBORO PODIATRY ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2011-01-17",
        "status": "A",
        "authorized_official_last_name": "AJLOUNY",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "336-299-0271",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NC",
            "license": "425",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890804Y",
            "state": "NC"
        }
    ],
    "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 Jan 17, 2011; 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.