St. Gale'S Manor

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

HAL-041-023 Issued in NC

Legal business name

ST. GALE'S MANOR

Practice address

1411 Lees Chapel Rd
Greensboro, NC 27405-1615

Phone

(336) 621-5336

NPI assigned

Jul 11, 2007

Organization subpart

No

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

Authorized official

Name

Mr. James Jr. Lawson

Title

President

Phone

(336) 621-5336

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1861690877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14982",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274154982",
            "telephone_number": "336-691-5388",
            "fax_number": "336-691-5389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 LEES CHAPEL RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274051615",
            "telephone_number": "336-621-5336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. GALE'S MANOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-11",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "LAWSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "JR.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-621-5336",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "NC",
            "license": "HAL-041-023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Spurling, PNP
• Sarah Elizabeth Squire, M.D.
• Liji Sreejesh, PT
• Sriramkumar Sridharan, MD
• Saiesh Srivastava
• Jaimie Lauren Stackhouse
• Ashlea D. Stafford, MA/CCC-SLP
• Lee Tyler Stafford, DC
• John Allen Stahl, MD
• Stacy Stahl

• Point of Service in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Point of Service in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.