| Moses Cone Physician Services Inc | |
|
1107 S Main St Reidsville NC 27320-5313 | |
| (336) 951-6070 | |
| (336) 634-3940 |
| Full Name | Moses Cone Physician Services Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1107 S Main St, Reidsville, North Carolina |
| Authorized Official Name and Position | Robert Lee Goldstein (EXECUTIVE VICE PRESIDENT) |
| Authorized Official Contact | 3368326250 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Moses Cone Physician Services Inc 1200 N Elm St Greensboro NC 27401-1004 Ph: (336) 832-7764 | Moses Cone Physician Services Inc 1107 S Main St Reidsville NC 27320-5313 Ph: (336) 951-6070 |
| NPI Number | 1780004556 |
|---|---|
| Provider Enumeration Date | 04/21/2014 |
| Last Update Date | 05/09/2014 |
| Medicare PECOS PAC ID | 4284782210 |
|---|---|
| Medicare Enrollment ID | O20140714001637 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780004556 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| Provider Name | Stephen Michael Dahlstedt |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1861487936 PECOS PAC ID: 6305742750 Enrollment ID: I20031208000998 |
| Provider Name | Bradley J Stoneking |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1336172543 PECOS PAC ID: 0941278543 Enrollment ID: I20040921001264 |
| Provider Name | Marshall C Hall |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1881676484 PECOS PAC ID: 1456367358 Enrollment ID: I20060302000097 |
| Provider Name | Scott A Macdiarmid |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1346222775 PECOS PAC ID: 7113939463 Enrollment ID: I20060703000105 |
| Provider Name | John J Wrenn |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1659372019 PECOS PAC ID: 3678572617 Enrollment ID: I20061220000364 |
| Provider Name | Jason S Dew |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1073534897 PECOS PAC ID: 7012918535 Enrollment ID: I20070126000264 |
| Provider Name | Krichna F Sowles |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861594871 PECOS PAC ID: 4880660513 Enrollment ID: I20070529000486 |
| Provider Name | Sharon L Saunders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508905480 PECOS PAC ID: 5991803421 Enrollment ID: I20070607000314 |
| Provider Name | Su Wooi Teoh |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1619033164 PECOS PAC ID: 4183717440 Enrollment ID: I20070904000241 |
| Provider Name | Scott C Stoioff |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1881763316 PECOS PAC ID: 0446344311 Enrollment ID: I20070922000147 |
| Provider Name | Gebreselassie W Nida |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1346450657 PECOS PAC ID: 0446301766 Enrollment ID: I20090626000472 |
| Provider Name | Gregory G Schnier |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1740245943 PECOS PAC ID: 5496768160 Enrollment ID: I20100407000341 |
| Provider Name | Laura Berglund |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760406375 PECOS PAC ID: 8022147388 Enrollment ID: I20100525000289 |
| Provider Name | Deanna C Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033119425 PECOS PAC ID: 4789641887 Enrollment ID: I20100909000941 |
| Provider Name | Donald E Fisher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730270141 PECOS PAC ID: 6709780893 Enrollment ID: I20110316000075 |
| Provider Name | Matthew R Eskridge |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1588747539 PECOS PAC ID: 5193878676 Enrollment ID: I20120627000392 |
| Provider Name | Brien R Pace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548598899 PECOS PAC ID: 9739336876 Enrollment ID: I20120824000712 |
| Provider Name | Theodore Manny |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1871773143 PECOS PAC ID: 6507014719 Enrollment ID: I20120913000205 |
| Provider Name | Regina W Baity |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891123667 PECOS PAC ID: 3779712179 Enrollment ID: I20140205001501 |
| Provider Name | Benjamin Herrick |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1588838965 PECOS PAC ID: 3173848025 Enrollment ID: I20150217001175 |
| Provider Name | Ashley Jf Brandon |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1790912574 PECOS PAC ID: 0143443598 Enrollment ID: I20150803001085 |
| Provider Name | Megan Payseur Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063708378 PECOS PAC ID: 7113235870 Enrollment ID: I20150929001938 |
| Provider Name | Patrick Mckenzie |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1225359920 PECOS PAC ID: 9830402726 Enrollment ID: I20160608002385 |
| Provider Name | Sarah C Larocco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285182295 PECOS PAC ID: 1850672312 Enrollment ID: I20161221002098 |
| Provider Name | Alexander Karamalegos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942610159 PECOS PAC ID: 3577829209 Enrollment ID: I20171113000999 |
| Provider Name | Michelle M Leroux Martinez |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1841716065 PECOS PAC ID: 7618231549 Enrollment ID: I20180501001674 |
| Provider Name | Christopher A Winter |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1982043824 PECOS PAC ID: 0840434569 Enrollment ID: I20180718003898 |
| Provider Name | Brittany Melinna Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871086389 PECOS PAC ID: 0446508972 Enrollment ID: I20180731002784 |
| Provider Name | Eugene D Bell |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1588992168 PECOS PAC ID: 8224270269 Enrollment ID: I20180807002371 |
| Provider Name | Angela Marie Bacigalupo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093193641 PECOS PAC ID: 7012266638 Enrollment ID: I20180815001429 |
| Provider Name | Maryellen Dolat Pace |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1134411390 PECOS PAC ID: 3678713948 Enrollment ID: I20190605001604 |
| Provider Name | Fallon Eileen Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942864517 PECOS PAC ID: 0749516995 Enrollment ID: I20190725000575 |
| Provider Name | Brian C Sninsky |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1336568807 PECOS PAC ID: 1456575653 Enrollment ID: I20190903002421 |
| Provider Name | Jolene Tadzia Cannady |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104366038 PECOS PAC ID: 9335493196 Enrollment ID: I20190909000842 |
| Provider Name | Matthew Ryan Gay |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1730541780 PECOS PAC ID: 8628361425 Enrollment ID: I20210621002114 |
| Provider Name | Whitney J Reardon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518552090 PECOS PAC ID: 7618379843 Enrollment ID: I20210712001265 |
| Provider Name | Karen Leigh Holdsworth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104454842 PECOS PAC ID: 2860823226 Enrollment ID: I20211217000484 |
| Provider Name | Jason Matthews |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962844142 PECOS PAC ID: 0749598597 Enrollment ID: I20220119002858 |
| Provider Name | Julie Flowers Pender |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326798398 PECOS PAC ID: 2769422682 Enrollment ID: I20220718003450 |
| Provider Name | Elisabeth Andrews |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154982072 PECOS PAC ID: 3072946532 Enrollment ID: I20220823004179 |
| Provider Name | Graham Luke Machen |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1447695317 PECOS PAC ID: 4880981372 Enrollment ID: I20221010000856 |
| Provider Name | Makiera Lenae Simmons-robinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386263119 PECOS PAC ID: 6507227915 Enrollment ID: I20230802000314 |
| Provider Name | Jennifer Natashsa David |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1740571496 PECOS PAC ID: 3476796111 Enrollment ID: I20240117001627 |
| Provider Name | Sarah E M Pardue |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821612292 PECOS PAC ID: 9335564996 Enrollment ID: I20240322001520 |
| Provider Name | Andres Ramgoolam |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760481576 PECOS PAC ID: 3072505189 Enrollment ID: I20240805002695 |
| Provider Name | Chloe Elisabeth Rothstein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528781168 PECOS PAC ID: 0143768127 Enrollment ID: I20240821003748 |
| Provider Name | Maria Paola Santos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598343139 PECOS PAC ID: 5395148951 Enrollment ID: I20240917000120 |
| Provider Name | Seth James Coynor |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073930020 PECOS PAC ID: 3577851088 Enrollment ID: I20240920003105 |
| Provider Name | Louie Anne Catahimican |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215769666 PECOS PAC ID: 4385177575 Enrollment ID: I20241025003129 |
| Provider Name | Karina Maureen Paci |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1386103463 PECOS PAC ID: 3577893122 Enrollment ID: I20241029003356 |
| Provider Name | Allison Ewing |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1184312183 PECOS PAC ID: 1850825662 Enrollment ID: I20241114004503 |
| Provider Name | Lynn Michelle Klett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578956546 PECOS PAC ID: 9739613597 Enrollment ID: I20241115001653 |
| Provider Name | Kellie Anne Clifton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104663947 PECOS PAC ID: 9335675784 Enrollment ID: I20241209001211 |
| Provider Name | Jessica Zexi Liang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669056115 PECOS PAC ID: 7810390218 Enrollment ID: I20250310001098 |
Zack Hall, Md Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 217 Turner Dr Ste F, Reidsville, NC 27320 Phone: 336-342-6060 Fax: 336-342-6068 | |
Roy O Fagan Iii Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 419 W Harrison St, Reidsville, NC 27320 Phone: 336-342-4448 Fax: 336-342-4499 | |
Tesfaye D Fanta Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 910 W Harrison St, Reidsville, NC 27320 Phone: 336-342-9564 Fax: 336-349-9723 | |
Moses Cone Physician Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1107 S Main St, Reidsville, NC 27320 Phone: 336-951-6070 Fax: 336-634-3940 | |
Moses Cone Affiliated Physicians, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 520 Maple Ave, Suite B, Reidsville, NC 27320 Phone: 336-634-3960 Fax: 336-634-3919 | |
The Mcinnis Clinic Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1123 S Main St Ste C, Reidsville, NC 27320 Phone: 336-342-4286 Fax: 866-258-0126 | |
Moses Cone Physician Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 118 S Scales St, Reidsville, NC 27320 Phone: 336-347-0511 Fax: 336-347-0410 |