Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
MEDICAL GROUP OF THE TRIAD, PA
Active
Organization
MEDICAL GROUP OF THE TRIAD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY KWIATKOWSKI MD (PRESIDENT)
(336) 242-1125
Entity
Organization
Contact information
Practice address
215 W US HIGHWAY 64, SUITE 1, LEXINGTON, NC 27295-2567
(336) 242-1125
Mailing address
215 W US HIGHWAY 64, SUITE 1, LEXINGTON, NC 27295-2567
(336) 242-1125
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
NULL
111N00000X
Chiropractor
—
—
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1285658906
NPI PERSONAL KRISTI MAULDIN
NC
01
—
1396910345
NPI INDIVIDUAL SHENOA RONDEAU
NC
01
—
1689661761
NPI INDIVIDUAL TIM KWIATKOWSKI
NC
Enumeration date
03/08/2016
Last updated
03/08/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers