Healthcare Provider Details

I. General information

NPI: 1396181764
Provider Name (Legal Business Name): ERIN ELIZABETH HAYES ORTH MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ERIN ELIZABETH HAYES MD

II. Dates (important events)

Enumeration Date: 05/13/2013
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1121 NORTH CHURCH STREET
GREENSBORO NC
27401
US

IV. Provider business mailing address

1121 N CHURCH ST
GREENSBORO NC
27401-1007
US

V. Phone/Fax

Practice location:
  • Phone: 336-832-6500
  • Fax:
Mailing address:
  • Phone: 413-687-3549
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number2016-00293
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: