WAKE FOREST UNIVERSITY HEALTH SCIENCES (NPI# 1134731227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134731227 |
| Entity Type | Organization |
| Organization Name | WAKE FOREST UNIVERSITY HEALTH SCIENCES |
| Practice Address |
1901 Mooney St Winston Salem NC 27103-3032 |
| Practice Telephone | 3367164207 |
| Practice Fax Number | 3367133244 |
| Mailing Telephone | 3367164207 |
| Mailing Fax Number | 3367133244 |
| Enumeration Date | 2020-08-19 |
| Last Update Date | 2020-08-19 |
| Authorized Official Name | KEVIN PAUL HIGH (PRESIDENT, HEALTH SYSTEM, WFBH) |
| Authorized Official Telephone | 3367168021 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | WAKE FOREST UNIVERSITY HEALTH SCIENCES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336619063 | Wake Forest University Health Sciences | Durable Medical Equipment & Medical Supplies | 1814 Westchester Dr Ste 300, High Point, NC 27262-7369 | 2018-11-26 |
| 1083100291 | Wake Forest University Health Sciences | Clinic/Center | 611 N Lindsay St Ste 200, High Point, NC 27262-4318 | 2018-07-11 |
| 1730383555 | Wake Forest University Health Sciences | Durable Medical Equipment & Medical Supplies | 1000 Coffey Ave, North Wilkesboro, NC 28659-3264 | 2007-06-14 |
| 1720282635 | Wake Forest University Health Sciences | Durable Medical Equipment & Medical Supplies | 505 13th St, North Wilkesboro, NC 28659-4067 | 2007-06-13 |
| 1992909865 | Wake Forest University Health Sciences | Durable Medical Equipment & Medical Supplies | Wingate Road, Reynolds Gym-lower Level, Winston-salem, NC 27106-4179 | 2007-06-13 |
| 1689878787 | Wake Forest University Health Sciences | Durable Medical Equipment & Medical Supplies | 380 Knollwood St, Suite 630, Winston Salem, NC 27103-1884 | 2007-06-13 |
| 1801090774 | Wake Forest University Health Sciences | Durable Medical Equipment & Medical Supplies | 1570 Nc 8 & Hwy 89 N, Danbury, NC 27016-7360 | 2007-06-13 |
| 1447454558 | Wake Forest University Health Sciences | Durable Medical Equipment & Medical Supplies | 3314 16th Ave Se Ste 12, Conover, NC 28613-9694 | 2007-06-13 |
| 1023212248 | Wake Forest University Health Sciences | Durable Medical Equipment & Medical Supplies | 911 Worth St, Mount Airy, NC 27030-4459 | 2007-06-12 |
| 1548464845 | Wake Forest University Health Sciences | Durable Medical Equipment & Medical Supplies | 690 Parkwood Medical Park, Elkin, NC 28621-2487 | 2007-06-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | WAKE FOREST UNIVERSITY HEALTH SCIENCES | Medical Center Blvd, Winston Salem, NC 27157-0001 |
| Oklahoma Business Registrations | WAKE FOREST UNIVERSITY HEALTH SCIENCES | 1920 West First St, Winston Salem, NC 27104 |
| Street Address |
1901 MOONEY ST |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27103-3032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912041773 | Richard Thomas Galinski | Physical Therapist | 1901 Mooney St, Winston Salem, NC 27103-3032 | 2007-02-16 |
| 1073135448 | Charles Ramy Badawy | Physical Therapist | 1901 Mooney St, Winston Salem, NC 27103-3032 | 2020-05-08 |
| 1124517644 | Justin Pfruender | Physical Therapist | 1901 Mooney St, Winston Salem, NC 27103-3032 | 2018-05-10 |
| 1467959627 | Carla Parker | Specialist/Technologist | 1901 Mooney St, Winston Salem, NC 27103-3032 | 2018-04-12 |
| 1992228738 | Edmond Christopher Ina | Specialist/Technologist | 1901 Mooney St, Winston Salem, NC 27103-3032 | 2017-07-24 |
| 1215310123 | Kristen Lee Marion | Physical Therapist | 1901 Mooney St, Winston Salem, NC 27103-3032 | 2015-07-09 |
| 1073862355 | Amanda Whitaker Tipton | Physician Assistant | 1901 Mooney St, Winston Salem, NC 27103-3032 | 2012-09-02 |
| 1518158724 | Brian Robert Waterman | Orthopaedic Surgery | 1901 Mooney St, Winston Salem, NC 27103-3032 | 2007-08-05 |
| 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 | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093267411 | Chs North Carolina Medical P C | Clinic/Center | 2415 S Stratford Rd, Winston Salem, NC 27103-6225 | 2016-11-02 |
| 1730710328 | Counseling With A Purpose, Pllc | Clinic/Center | 615 Saint George Square Ct Ste 300, Winston Salem, NC 27103-1368 | 2020-01-31 |
| 1437288719 | Carolina Family Medicine and Dermatology | Clinic/Center | 3000 Bethesda Pl, Suite 601, Winston Salem, NC 27103-3331 | 2007-03-05 |
| 1003803032 | Wake Forest University Health Sciences | Clinic/Center | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2005-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447851340 | Be Inc | Clinic/Center | 13 N Kaufman Stone Way, Candler, NC 28715-7721 | 2020-11-06 |
| 1801424171 | Recover Together, Inc. | Clinic/Center | 59 Haywood Office Park Ste 2, Waynesville, NC 28785-6998 | 2020-03-31 |
| 1891330056 | Veritas Collaborative Charlotte, LLC | Clinic/Center | 1900 Scott Ave Ste 101, Charlotte, NC 28203-6046 | 2019-11-12 |
| 1770135808 | American Family Care Fuquay Pllc | Clinic/Center | 1298 N Main St, Fuquay Varina, NC 27526-2615 | 2019-07-09 |
| 1508424029 | Shelly Renea Obasoluyi | Clinic/Center | 403 Atwell Dr, Fayetteville, NC 28314-0122 | 2019-05-30 |
| 1215593819 | Wilmington Health Pllc | Clinic/Center | 1811 Tiburon Dr, Wilmington, NC 28403-6254 | 2019-05-20 |
| 1003472804 | Loginclinics, Pllc | Clinic/Center | 1324 Reservoir View Ln, Wake Forest, NC 27587-1836 | 2019-05-16 |
| 1124586060 | Bethany Christian Services of Nc | Clinic/Center | 1110 Navaho Dr Ste 109, Raleigh, NC 27609-7352 | 2019-03-11 |
| 1548740038 | Hillsborough Community Urgent Care | Clinic/Center | 110 Boone Square St Ste 29a, Hillsborough, NC 27278-2665 | 2018-08-15 |
| 1679079537 | Carter Clinic, Pa | Clinic/Center | 260 1st Ave Nw Ste 215, Hickory, NC 28601-6161 | 2018-03-31 |
| Find all providers with the same taxonomy | ||||
| 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.