DEPARTMENT OF VETERANS AFFAIRS (NPI# 1073863197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073863197 |
| Entity Type | Organization |
| Organization Name | DEPARTMENT OF VETERANS AFFAIRS |
| Practice Address |
190 Kimel Park Dr Winston Salem NC 27103-6946 |
| Mailing Address |
4280 Lake Cliff Dr Clemmons NC 27012-8408 |
| Practice Telephone | 3367683296 |
| Mailing Telephone | 8287190573 |
| Enumeration Date | 2012-09-17 |
| Last Update Date | 2012-09-17 |
| Authorized Official Name | TERRI EVERETT (BROS) |
| Authorized Official Telephone | 3367683296 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124464086 | Department of Veterans Affairs | Clinic/Center | 25 N Spruce St Ste 207, Colorado Springs, CO 80905-1450 | 2013-05-20 |
| 1962740662 | Department of Veterans Affairs | Military Hospital | 437 E Mohave Rd, Tucson, AZ 85705-3627 | 2013-01-30 |
| 1770839540 | Department of Veterans Affairs | Psychiatric Hospital | 2349 W Shaw Butte Dr, Phoenix, AZ 85029-3434 | 2012-07-31 |
| 1255617676 | Department of Veterans Affairs | Military Hospital | 3022 Heritage Creek Oaks, Houston, TX 77008-6156 | 2011-10-31 |
| 1750687414 | Department of Veterans Affairs | Clinic/Center | Casia 10, San Juan, PR 00926-0926 | 2011-01-28 |
| 1740580828 | Department of Veterans Affairs | General Acute Care Hospital | 23809 E Silsby Rd, Beachwood, OH 44122-1271 | 2010-10-23 |
| 1306170295 | Department of Veterans Affairs | Clinic/Center | 99 River Rd, Lincoln, ME 04457-4012 | 2009-09-24 |
| 1033358239 | Department of Veterans Affairs | Military Hospital | 5782 W Cortaro Crossing Dr, Tucson, AZ 85742-8128 | 2009-02-11 |
| 1194976274 | Department of Veterans Affairs | Community/Behavioral Health | 3372 State Route 11, Malone, NY 12953-4712 | 2008-10-07 |
| 1053560540 | Department of Veterans Affairs | General Acute Care Hospital | 2002 Holcombe Blvd # 112c, Houston, TX 77030-4211 | 2008-09-09 |
| Street Address |
190 KIMEL PARK DR |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27103-6946 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770847188 | Tracy Maria Powers | Registered Nurse | 190 Kimel Park Dr, Winston Salem, NC 27103-6946 | 2012-06-29 |
| 1891926101 | Leslie Paul Schellbach | Social Worker | 190 Kimel Park Dr, Winston Salem, NC 27103-6946 | 2009-08-04 |
| 1750532180 | Edward V. Spudis | Clinic/Center | 190 Kimel Park Dr, Winston Salem, NC 27103-6946 | 2008-10-03 |
| 1023265956 | Kenneth John Detrick | Psychiatry & Neurology | 190 Kimel Park Dr, Winston Salem, NC 27103-6946 | 2008-08-21 |
| 1093984007 | Jennifer Lynn Herb | Counselor | 190 Kimel Park Dr, Winston Salem, NC 27103-6946 | 2008-02-23 |
| 1790969277 | William R Bodner | Psychiatry & Neurology | 190 Kimel Park Dr, C&p Unit, Winston Salem, NC 27103-6946 | 2007-12-20 |
| 1215111828 | Carey Vastine Stabler | General Practice | 190 Kimel Park Dr, Winston Salem, NC 27103-6946 | 2007-12-19 |
| 1023216199 | Ahunna N Okwubunka-anyim | Family Medicine | 190 Kimel Park Dr, Winston Salem, NC 27103-6946 | 2007-07-10 |
| 1518162460 | Chetan Desai | Internal Medicine | 190 Kimel Park Dr, Va Out-patient Clinic, Winston Salem, NC 27103-6946 | 2007-06-20 |
| 1093770158 | Deborah Lewis Cranfill | Pharmacist | 190 Kimel Park Dr, Winston Salem, NC 27103-6946 | 2006-04-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124648126 | Kelly Anne Wales | Pharmacist | 3917-a Westpoint Boulevard, Winston-salem, NC 27103 | 2020-04-20 |
| 1386281533 | Elena Mcginty | Nurse Practitioner | 1225 Creekshire Way, Suite 270, Winston Salem, NC 27103 | 2019-12-06 |
| 1992359442 | Madeline Pryor | Pharmacist | 255 Charlois Drive, Winston Salem, NC 27103 | 2019-08-01 |
| 1215599584 | Palmetto Oxygen LLC | Durable Medical Equipment & Medical Supplies | 1100 S Stratford Road, Building B, Suite 420, Winston Salem, NC 27103 | 2019-07-07 |
| 1548734718 | Trivy Johnson | Specialist | 1384-b Westgate Center Dr., Winston Salem, NC 27103 | 2019-01-21 |
| 1447745047 | Novant Health Rehabilitation Hospital of Winston-salem, LLC | Rehabilitation Hospital | 2475 Hillcrest Center Circle, Winston Salem, NC 27103 | 2018-06-26 |
| 1346740206 | Joseph Miller | Physical Therapist | 1605 Westbrook Dr, Suite 103, Winston-salem, NC 27103 | 2018-02-17 |
| 1548779101 | Kristin Blow | Counselor | 3000 Bethesda Pl Ste 202, Winston Salem, NC 27103 | 2017-09-27 |
| 1891213443 | Alisha Dawn Wilson | Occupational Therapy Assistant | 2101 Homestead Hills Drive, Winston Salem, NC 27103 | 2017-09-05 |
| 1588186969 | Brandy Wilson | Social Worker | 153 Cameron Way Circle, Winston Salem, NC 27103 | 2017-07-07 |
| Find all providers in zip 27103 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538610019 | In-house Doc, Inc. | General Acute Care Hospital | 1820 Grace St, Winston Salem, NC 27103-2722 | 2016-10-19 |
| 1649412826 | Wake Forest Univ Baptist Medical Center | General Acute Care Hospital | Medical Center Blvd Wake Forest Univ School, Winston Salem, NC 27157-0001 | 2009-04-02 |
| 1639334311 | Wake Forest University Baptist Medical Center | General Acute Care Hospital | Wfu Department of Obstetrics and Gynecology, Medical Center Boulevard, Winston Salem, NC 27157-0001 | 2008-07-22 |
| 1740477256 | Wake Forest University, Baptist Medical Center | General Acute Care Hospital | Medical Center Boulevard Wake Forest University, Hematology and Oncology, Winston Salem, NC 27157-0001 | 2007-09-28 |
| 1033316773 | Jason Halvorson | General Acute Care Hospital | Dept of Orthopaedic Surgery Medical Center Blvd, Wake Forest Baptist Hospital, Winston Salem, NC 27157-0001 | 2007-06-27 |
| 1215495148 | Forsyth Memorial Hospital, Inc. | General Acute Care Hospital | 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 | 2019-03-11 |
| 1962879494 | North Carolina Baptist Hospital | General Acute Care Hospital | 1 Medical Center Blvd, Winston Salem, NC 27157-0001 | 2015-09-01 |
| 1598169575 | Forsyth Memorial Hospital, Inc. | General Acute Care Hospital | 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 | 2014-10-20 |
| 1447694120 | Wake Forest Baptist Medical Center | General Acute Care Hospital | 1 Medical Center Blvd, Winston Salem, NC 27157-0001 | 2013-04-24 |
| 1962798165 | Wake Forest Baptist Health | General Acute Care Hospital | Wake Forest University Health Sciences, Medical Center Blvd, Winston Salem, NC 27157-0001 | 2011-06-26 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27103 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.