Piedmont Cardiovascular, P.a.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

200100363 Issued in NC

Legal business name

PIEDMONT CARDIOVASCULAR, P.A.

Practice address

1910 N Church St Ste a
Greensboro, NC 27405-5665

Phone

(336) 676-4388

Fax

(336) 419-0042

NPI assigned

Jun 6, 2011

Organization subpart

No

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

Authorized official

Name

Anabell Diaz

Title

Practice Manager

Phone

(336) 676-4388

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 5

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

• Sabina Custovic, D.O.

  • Internal Medicine Physician
  • Greensboro, NC
  • NPI 1649706367
  Medicare reassignment NPD
• Jagadeesh Rudrappa Ganji, M.D. FACC

  • Cardiovascular Disease Physician
  • Greensboro, NC
  • NPI 1306942578
  Medicare reassignment NPD
• Manish Jayant Patwardhan, M.D.

  • Interventional Cardiology Physician
  • Greensboro, NC
  • NPI 1578884623

  Cardiovascular Disease

  Medicare reassignment NPD
• Sunit Y Tolia, DO

  • Cardiovascular Disease Physician
  • Greensboro, NC
  • NPI 1427493865
  Medicare reassignment NPD
• Celeste Cantwell, PA-C

  • Physician Assistant
  • Columbus, OH
  • NPI 1043899123

  NC

  Medicare reassignment

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

{
    "created_epoch": "1307318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580860800000",
    "number": "1982998159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 N CHURCH ST STE A",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274055665",
            "telephone_number": "336-676-4388",
            "fax_number": "336-419-0042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 N CHURCH ST STE A",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274055665",
            "telephone_number": "336-676-4388",
            "fax_number": "336-419-0042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIEDMONT CARDIOVASCULAR, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-06",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "ANABELL",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "336-676-4388"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NC",
            "license": "200100363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Stokes Pickett, PA-C
• Mike Pickles, RN
• Fred L. Picklesimer Jr., M.D.
• Piedmont Advanced Therapy
• Piedmont ASC LLC
• Piedmont Drug & Home Delivery, LLC
• Piedmont Drug & Home Delivery, LLC
• Piedmont Eye Center, P.a.
• Piedmont Eye Surgical and Laser PLLC
• Piedmont Family and Sports Medicine, PLLC

• Cardiovascular Disease Physician in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Cardiovascular Disease Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2020; 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.