Maurice K. Kpeglo

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

29314 Issued in NC

Legal business name

MAURICE K. KPEGLO

Practice address

2025 Martin L. King Jr Dr.
Suite-E
Greensboro, NC 27406-3334

Phone

(336) 378-0760

Fax

(336) 378-0970

NPI assigned

May 1, 2007

Organization subpart

No

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

Authorized official

Name

Maurice Kobla Kpeglo, M.D.

Title

Physician/Owner

Phone

(336) 378-0760

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• First Aid Emergency Clinic Doing business as

Locations

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220918400000",
    "number": "1497975411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14914",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274154914",
            "telephone_number": "336-378-0760",
            "fax_number": "336-378-0970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 MARTIN L. KING JR DR.",
            "address_2": "SUITE-E",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274063334",
            "telephone_number": "336-378-0760",
            "fax_number": "336-378-0970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAURICE K. KPEGLO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2008-09-09",
        "status": "A",
        "authorized_official_last_name": "KPEGLO",
        "authorized_official_first_name": "MAURICE",
        "authorized_official_middle_name": "KOBLA",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "336-378-0760",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "NC",
            "license": "200001360016",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "NC",
            "license": "29314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8950296",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "First Aid Emergency Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephanie Feltis Matthews, PT, DPT
• Steven Matthews
• Michael T Mattingly, MD
• Rebecca Murrell Mattocks, PT
• Christopher Alan Mauer
• Jacqueline Fungayi Mawoneke, NP
• Teresita Maxey, LCSW
• Maxim Habilitation Services, LLC
• Maxim Healthcare Services, Inc
• Maxim Healthcare Services, Inc.

• General Practice Physician in Greensboro, NC
• Providers in Greensboro, NC by specialty
• General Practice Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.

Verify at the official NPI Registry.