Chanda a. Griessel M.D., PLLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

200301236 Issued in NC

Legal business name

CHANDA A. GRIESSEL M.D., PLLC

Practice address

150 Kimel Park Dr
Suite 200
Winston Salem, NC 27103-6992

Phone

(336) 760-2240

Fax

(336) 760-2239

NPI assigned

Dec 7, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Chanda Annette Griessel, M.D.NPI 1306856703

Title

Manager

Phone

(336) 760-2240

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chanda Annette Griessel, MD

  • Ophthalmology Physician
  • Winston Salem, NC
  • NPI 1306856703
  Medicare reassignment Authorized official
• Jiaxi Ding, M.D.

  • Ophthalmology Physician
  • Winston Salem, NC
  • NPI 1457648412
  Medicare reassignment NPD

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

{
    "created_epoch": "1196985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340841600000",
    "number": "1922281385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 KIMEL PARK DR",
            "address_2": "SUITE 200",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271036992",
            "telephone_number": "336-760-2240",
            "fax_number": "336-760-2239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 KIMEL PARK DR",
            "address_2": "SUITE 200",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271036992",
            "telephone_number": "336-760-2240",
            "fax_number": "336-760-2239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANDA A. GRIESSEL M.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-07",
        "last_updated": "2012-06-28",
        "status": "A",
        "authorized_official_last_name": "GRIESSEL",
        "authorized_official_first_name": "CHANDA",
        "authorized_official_middle_name": "ANNETTE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "336-760-2240",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "200301236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5950669",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Channey Chan
• Michael David Chan, M.D.
• Wendy Chan, MAC
• Nicole Christine Chanas, PHARMD
• Chances Make Champions LLC
• Chandler Physical Therapy & Sports Rehab, LLC
• David Oliver Chandler, ATC
• Dudley C. Chandler Jr., DDS
• Jeffrey A Chandler, PT
• Mia T. Chandler, M.D., M.P.H.

• Ophthalmology Physician in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Ophthalmology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.