Active NPI
Medicina Stonecrest
- Internal Medicine Physician
- Greensboro, NC
National Provider Identifier
1922612662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- MEDICINA STONECREST
- Practice address
- 810 Warren St
Greensboro, NC 27403-2340 - Phone
- (336) 389-1413
- NPI assigned
- Sep 1, 2020
- Last updated
- Sep 1, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mark Scheutzow, MD
- Title
- Owner
- Phone
- (336) 653-9115
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary | ||
| Pain Clinic/Center | 261QP3300X | |||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X |
Addresses
Primary practice location
810 Warren St
Greensboro, NC 27403-2340
Mailing address
1301 Oakmont Dr
Asheboro, NC 27205-4136
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598918400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598918400000",
"number": "1922612662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 OAKMONT DR",
"city": "ASHEBORO",
"state": "NC",
"postal_code": "272054136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "810 WARREN ST",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274032340",
"telephone_number": "336-389-1413"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICINA STONECREST",
"organizational_subpart": "NO",
"enumeration_date": "2020-09-01",
"last_updated": "2020-09-01",
"certification_date": "2020-09-01",
"status": "A",
"authorized_official_last_name": "SCHEUTZOW",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "336-653-9115",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QP3300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Pain",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greensboro, NC
- Medexpress Urgent Care North Carolina, P.C. (MedExpress - Ralph Lauren Greensboro, NC)
- Ashley Hart Medford, L.P.C.
- Medical Resource Management
- Medically Linked, LLC (Medication Compliance Partners LLC)
- Medication Management, LLC
- Monina Calayag Medina-Vargas
- Mediq Urgent Care PC (MEDIQ Urgent Care)
- Medique Homecare Staffing, Inc.
- Medlink Homecare LLC (Medlink Homecare)
- Medlink Medical Associates, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.