Individual provider Active NPI

Maria Reid, MD

  • Pediatrics Physician
  • Greensboro, NC
National Provider Identifier
1710087192
Registry record updated Sep 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
9900658 Issued in NC
Practice address
526 N Elam Ave
Suite 202
Greensboro, NC 27403-1152
Phone
(336) 235-3060
Fax
(336) 235-3079
NPI assigned
Sep 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 9900658 NC Primary

Addresses

Primary practice location

526 N Elam Ave
Suite 202
Greensboro, NC 27403-1152

Mailing address

526 N Elam Ave
Suite 202
Greensboro, NC 27403-1152
Phone (336) 235-3060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
9900658NCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greensboro Children'S Clinic, PA Pediatrics Current Accepting new patients
Abc Pediatrics of Greensboro, P.a. Pediatrics Past Accepting new patients

Locations

2710 Henry St
Ste 100B
Greensboro, NC 27405
Phone (336) 954-1007

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.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254268800000",
    "number": "1710087192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 N ELAM AVE",
            "address_2": "SUITE 202",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274031152",
            "telephone_number": "336-235-3060",
            "fax_number": "336-235-3079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 N ELAM AVE",
            "address_2": "SUITE 202",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274031152",
            "telephone_number": "336-235-3060",
            "fax_number": "336-235-3079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "MARIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2009-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "9900658",
            "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 Sep 30, 2009; 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.