Organization Active NPI

Greensboro Endocrinology PLLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Greensboro, NC
National Provider Identifier
1588077176
Registry record updated Jun 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
29888 Issued in NC
Legal business name
GREENSBORO ENDOCRINOLOGY PLLC
Practice address
7 Corporate Center CT Ste C
Greensboro, NC 27408-3839
Phone
(336) 378-1074
NPI assigned
Jun 11, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2014

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

Authorized official

Name
Dr. Michael David Altheimer, M.D.
Title
Managing Member
Phone
(336) 378-1074

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X 29888 NC Primary

Addresses

Primary practice location

7 Corporate Center CT Ste C
Greensboro, NC 27408-3839

Mailing address

7 Corporate Center CT Ste C
Greensboro, NC 27408-3839
Phone (336) 378-1074

National Provider Directory

National Provider Directory

Locations

7 Corporate Center Ct
Ste C
Greensboro, NC 27408
Phone (336) 286-0033

NPI Registry JSON

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

{
    "created_epoch": "1402444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402444800000",
    "number": "1588077176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 CORPORATE CENTER CT STE C",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274083839",
            "telephone_number": "336-378-1074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 CORPORATE CENTER CT STE C",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274083839",
            "telephone_number": "336-378-1074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENSBORO ENDOCRINOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-11",
        "last_updated": "2014-06-11",
        "status": "A",
        "authorized_official_last_name": "ALTHEIMER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "336-378-1074",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NC",
            "license": "29888",
            "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 Jun 11, 2014; 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.