Organization · Type 2 NPI

The Moses H. Cone Memorial Hospital Operating Corporation

Adolescent Medicine (Internal Medicine) Physician · Greensboro, NC

NPI number 1003168303 Active

Practice location

1131C N Church St, Room 4
Greensboro, NC 27401-1007

Call (336) 832-7867 Map

Fax (336) 832-7869

Mailing address

1200 N Elm St, Administrative Service Building, Suite 201
Greensboro, NC 27401-1004

Specialties and licenses

Taxonomy	Code	License
Clinical Child & Adolescent Psychologist	103TC2200X	None listed
Pediatric Chiropractor	111NP0017X	None listed
Dentist	122300000X	None listed
Allergy & Immunology Physician	207K00000X	None listed
Family Medicine Physician	207Q00000X	None listed
Adolescent Medicine (Family Medicine) Physician	207QA0000X	None listed
Internal Medicine Physician	207R00000X	None listed
Adolescent Medicine (Internal Medicine) Physician Primary	207RA0000X	None listed
Obstetrics & Gynecology Physician	207V00000X	None listed
Pediatric Adolescent Medicine Physician	2080A0000X	None listed
Physical Medicine & Rehabilitation Physician	208100000X	None listed
Child & Adolescent Psychiatry Physician	2084P0804X	None listed
Pediatric Surgery Physician	2086S0120X	None listed
Physician Assistant	363A00000X	None listed
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist	364SP0807X	None listed

Adolescent Medicine (Internal Medicine) Physician: An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

Another provider at this address

Timothy Ryan Draper, DOSports Medicine (Family Medicine) Physician Greensboro, NC NPI 1932144904

NPI record

NPI: 1003168303
Entity type: Organization (Type 2)
Issued: Oct 10, 2012
Last updated: Oct 11, 2012
Status: Active
Subpart: Yes of The Moses H. Cone Memorial Hospital

Other names

<unavail>
Cone Adolescent Clinic · doing business as

Authorized official

Mr. Robert T. Rice
President and CEO
(336) 832-9500

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1003168303

The Moses H. Cone Memorial Hospital Operating Corporation's National Provider Identifier is 1003168303, issued on Oct 10, 2012. The primary taxonomy on file is Adolescent Medicine (Internal Medicine) Physician (207RA0000X), and the practice location is in Greensboro, NC. The record was last updated on Oct 11, 2012.