Triad Women's Health and Wellness Center

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

13552 Issued in NC

Legal business name

TRIAD WOMEN'S HEALTH AND WELLNESS CENTER

Practice address

3750 Admiral Dr.
Suite 104
High Point, NC 27265

Phone

(336) 841-6954

Fax

(336) 841-6906

NPI assigned

Jun 16, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jackie Greene

Title

Administrator

Phone

(336) 841-6954

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1497571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1942730452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 ADMIRAL DR STE 104",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272651556",
            "telephone_number": "336-841-6954",
            "fax_number": "336-841-6906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 ADMIRAL DR.",
            "address_2": "SUITE 104",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "27265",
            "telephone_number": "336-841-6954",
            "fax_number": "336-841-6906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIAD WOMEN'S HEALTH AND WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-16",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "336-841-6954",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "13552",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8937039",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Triad Outreach Center, Inc. (The Healthcare Training Center)
• Triad Pediatrics, PC
• Triad Primary Health and Wellness, PLLC
• Triad Women's Center PA
• Triad Women's Health and Wellness Center
• Triad Youth Services, Inc
• Isabella Trichilo, OTR
• Maura L. Trimble, RN BSN
• Ryan Michel Trimble, MD
• Trinity Support Services LLC

• Obstetrics & Gynecology Physician in High Point, NC
• Providers in High Point, NC by specialty
• Obstetrics & Gynecology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.