WILKES PHYSICIAN NETWORK, INC. (NPI# 1124482146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124482146 |
| Entity Type | Organization |
| Organization Name | WILKES PHYSICIAN NETWORK, INC. |
| Other Organization Name | WILKES REGIONAL ENT & SLEEP MEDICINE |
| Practice Address |
1914 W Park Dr North Wilkesboro NC 28659-3563 |
| Practice Telephone | 3369037710 |
| Practice Fax Number | 3369037711 |
| Mailing Telephone | 3369037710 |
| Mailing Fax Number | 3369037711 |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2016-04-06 |
| Authorized Official Name | FRIEDA M LOWDER (SR VICE PRESIDENT) |
| Authorized Official Telephone | 7044032276 |
| Is Organization Subpart | Y |
| Parent Organization Name | WILKES PHYSICIAN NETWORK, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians | ||
| N | 207YX0007X |
Otolaryngology Specialization: Plastic Surgery within the Head & Neck |
Allopathic & Osteopathic Physicians | ||
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| Y | 207YS0012X |
Otolaryngology Specialization: Sleep Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Wilkes Regional ENT & Sleep Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891183331 | Wilkes Physician Network, Inc. | Internal Medicine | 111 Riddle Road, North Wilkesboro, NC 28659-8890 | 2015-01-07 |
| 1013324375 | Wilkes Physician Network, Inc. | Family Medicine | 171 W Wilkes Medical Center Rd, Ferguson, NC 28624-8925 | 2014-07-18 |
| 1588918338 | Wilkes Physician Network, Inc. | Family Medicine | 1900 W Park Dr, Suite-b, North Wilkesboro, NC 28659-3563 | 2012-11-01 |
| 1346538105 | Wilkes Physician Network, Inc. | Hospitalist | 1370 West D Street, North Wilkesboro, NC 28659-3506 | 2011-07-14 |
| 1750685533 | Wilkes Physician Network, Inc. | Pediatrics | 1915 West Park Dr, Suite 103, North Wilkesboro, NC 28659-3777 | 2011-01-07 |
| 1427362235 | Wilkes Physician Network, Inc. | Family Medicine | 1900 W Park Dr, Urgent Care of Wilkes, North Wilkesboro, NC 28659-3563 | 2010-08-04 |
| 1407177199 | Wilkes Physician Network, Inc. | Family Medicine | 1534 W D St, North Wilkesboro, NC 28659-3528 | 2010-06-16 |
| 1710202429 | Wilkes Physician Network, Inc. | Internal Medicine | 1404 Willow Ln, Greenway Healthcare, North Wilkesboro, NC 28659-3584 | 2010-04-06 |
| 1659602449 | Wilkes Physician Network, Inc. | Internal Medicine | 1404 Willow Ln, Wilkes Regional Gastroenterology, North Wilkesboro, NC 28659-3584 | 2010-01-19 |
| 1851628325 | Wilkes Physician Network, Inc. | Obstetrics & Gynecology | 1405 Willow Ln, Northwest Carolina Women's Center, North Wilkesboro, NC 28659-3551 | 2009-11-04 |
| Street Address |
1914 W PARK DR |
| City | NORTH WILKESBORO |
| State | NC |
| Zip Code | 28659-3563 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194167338 | Orthocarolina, Pa | Physician Assistant | 1914 W Park Dr, North Wilkesboro, NC 28659-3563 | 2013-07-29 |
| 1558462937 | Ewain P Wilson | Otolaryngology | 1914 W Park Dr, North Wilkesboro, NC 28659-3563 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013579689 | Lisa C Carr | Social Worker | 1400 Willow Ln # C61-2, North Wilkesboro, NC 28659 | 2019-07-03 |
| 1780141507 | Brenda Barber | Counselor | 200 Northview Plaza, North Wilkesboro, NC 28659 | 2019-02-28 |
| 1639696941 | Lifespan Incorporated | Community/Behavioral Health | 2070 River Road, North Wilkesboro, NC 28659 | 2017-08-28 |
| 1184146011 | Daymark Recovery Services Inc | Community/Behavioral Health | 200 C.c. Wright School Road, Classrooms 126, 127, North Wilkesboro, NC 28659 | 2017-07-12 |
| 1033568258 | Rgm Al Holdings, LLC | Assisted Living Facility | 240 Independence Ave, North Wilkesboro, NC 28659 | 2016-06-08 |
| 1376997999 | Hayden Church | Driver | 29 Boone Trail, North Wilkesboro, NC 28659 | 2016-04-20 |
| 1033563192 | Nathan Grant Davis | Emergency Medicine | Wake Forest Baptist Health- Wilkes Medical Center, 1370 W D St, North Wilkesboro, NC 28659 | 2016-04-14 |
| 1720425408 | Lindsay Brooke Spears | Dentist | 1915 West Park Drive Ste 104, Wilkes Public Health Dental West, North Wilkesboro, NC 28659 | 2013-06-04 |
| 1881983419 | Pruitthealth Hospice, Inc. | Hospice Care, Community Based | 902 West D St, Ste B, North Wilkesboro, NC 28659 | 2011-04-05 |
| 1275838096 | Barium Springs Home for Children | Community Based Residential Treatment Facility, Mental Illness | 517 Boston Ave, North Wilkesboro, NC 28659 | 2011-01-26 |
| Find all providers in zip 28659 | ||||
| Taxonomy Code | 207YS0012X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Sleep Medicine |
| An Otolaryngologist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders. |
| Notes: Source: American Academy of Sleep Medicine, www.aasm.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497138671 | Sleep and Sinus Centers of Nc Pllc | Otolaryngology | 10880 Durant Rd, Suite 124, Raleigh, NC 27614-6628 | 2015-07-07 |
| 1790012607 | Dr. H C Baggett, Pa | Otolaryngology | 2518 Wake Dr, Raleigh, NC 27608-1340 | 2009-11-13 |
| City | NORTH WILKESBORO |
| Zip Code | 28659 |
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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.