Individual provider Active NPI

Sarah Elizabeth Squire, M.D.

  • Radiation Oncology Physician
  • Greensboro, NC
National Provider Identifier
1417136185
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
2011-00367 Issued in NC
Practice address
2400 W Friendly Ave
Greensboro, NC 27403-1109
Phone
(336) 832-1100
NPI assigned
Oct 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 2011-00367 NC Primary

Addresses

Primary practice location

2400 W Friendly Ave
Greensboro, NC 27403-1109

Mailing address

200 Queens Rd Ste 400
Charlotte, NC 28204-3264
Phone (704) 765-2578

Other practice location 1

373 N Fayetteville St
Asheboro, NC 27203-5507
Phone (336) 626-0033

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110817000948 NC Practitioner - Radiation Oncology 4183893639 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Warren Alpert Medical School of Brown University, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greensboro Radiation Oncologists PAGroup PAC ID 4688641939, 10 clinicians

Practice addresses (Care Compare)

501 N Elam Ave
Greensboro, NC 27403-1199
Phone (336) 832-1100

Hospital & facility affiliations

  • Moses H. Cone Memorial Hospital, the Hospital, Greensboro, NC, CCN 340091
  • North Carolina Baptist Hospital Hospital, Winston-Salem, NC, CCN 340047

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Greensboro Radiation Oncologists PA Radiation Oncology CurrentSince Jul 25, 2011 Accepting new patients
Greensboro Radiation Oncologist, PA Past Accepting new patients

Locations

373 N Fayetteville St
Asheboro, NC 27203
Phone (336) 626-0033

1319 Spero Rd
Asheboro, NC 27205
Phone (336) 626-0033

200 Queens Rd
Ste 400
Charlotte, NC 28204
Phone (704) 765-2578

2400 W Friendly Ave
Greensboro, NC 27403
Phone (336) 832-1100

1331 N Elm St
Ste 200
Greensboro, NC 27401
Phone (336) 274-4285

Interoperability endpoints

  • Direct secure messaging: ssquire29232@direct.conehealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1417136185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 QUEENS RD STE 400",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282043264",
            "telephone_number": "704-765-2578",
            "fax_number": "704-333-3397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 W FRIENDLY AVE",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274031109",
            "telephone_number": "336-832-1100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "373 N Fayetteville St",
            "address_purpose": "LOCATION",
            "city": "Asheboro",
            "state": "NC",
            "postal_code": "272035507",
            "country_code": "US",
            "telephone_number": "336-626-0033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SQUIRE",
        "first_name": "SARAH",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-30",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NC",
            "license": "2011-00367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.