WILSON SLEEP DISORDERS CENTER, PA (NPI# 1154375202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154375202 |
| Entity Type | Organization |
| Organization Name | WILSON SLEEP DISORDERS CENTER, PA |
| Practice Address |
110 Brentwood Center Ln N Wilson NC 27896-1710 |
| Mailing Address |
Po Box 3997 Wilson NC 27895-3997 |
| Practice Telephone | 2522375337 |
| Practice Fax Number | 8002905015 |
| Mailing Telephone | 2522375337 |
| Mailing Fax Number | 8002905015 |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2013-08-15 |
| Authorized Official Name | DR. LINDSEY ELLIOT DEGUEHERY (PRESIDENT) |
| Authorized Official Telephone | 2522375337 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | TAXONOMY | 193400000X | 01 |
| NC | RR MEDICARE | 470001363 | 01 |
| NC | BCBS OF NC NUMBER | 012WP | 01 |
| NC | UNITED HEALTHCARE NUMBER | 3400065 | 01 |
| NC | MEDCOST NUMBER | B4905 | 01 |
| NC | 89012WP | 05 |
| Street Address |
110 BRENTWOOD CENTER LN N |
| City | WILSON |
| State | NC |
| Zip Code | 27896-1710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497906051 | Brentwood Clinic, P.a. | Internal Medicine | 110 Brentwood Center Ln N, Wilson, NC 27896-1710 | 2008-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528543972 | Realo Discount Drug Stores of Eastern North Carolina, Inc | Durable Medical Equipment & Medical Supplies | 3724 Raleigh Road Parkway, Suite A, Wilson, NC 27896 | 2018-10-02 |
| 1518450865 | Alysann Brooke Price | Social Worker | 5878 Farmwood Loop, Wilson, NC 27896 | 2018-06-12 |
| 1144744517 | Sara Lynn Campbell | Physical Therapist | 3200 Nash Street North, Wilson, NC 27896 | 2017-07-27 |
| 1902327109 | Lamont Zebediah Barnett | Counselor | 3904 Airport Drive, Wilson, NC 27896 | 2017-06-28 |
| 1578014718 | Kristy Kaye Rowland | Counselor | 3707 Marion Court N, Wilson, NC 27896 | 2016-10-24 |
| 1780058057 | Marsha Ricketts Harper | Occupational Therapy Assistant | 3105 Senior Village Lane, Wilson, NC 27896 | 2015-11-24 |
| 1508122615 | Charlotte Hurt | Social Worker | 910 Raleigh Rd Parkway, Wilson, NC 27896 | 2012-04-03 |
| 1447542139 | Sarah Elizabeth Kirby Bischoff | Pharmacist | 3401 Raleigh Rd, Harris Teeter, Wilson, NC 27896 | 2011-05-12 |
| 1235462342 | Wilson Medical Group | Non-Pharmacy Dispensing Site | 3302 Nash St North, Wilson, NC 27896 | 2009-09-09 |
| 1164662466 | My Friend's House, LLC | Community Based Residential Treatment Facility, Mental Illness | 3607 Columbia Avenue, Wilson, NC 27896 | 2009-02-26 |
| Find all providers in zip 27896 | ||||
| Taxonomy Code | 207RS0012X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Sleep Medicine |
| An Internist 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 |
|---|---|---|---|---|
| 1427416676 | Eastern Pulmonary & Sleep Medicine | Internal Medicine | 2303 Wellington Dr Sw, Suite C, Wilson, NC 27893-8620 | 2016-02-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508499286 | Nations Sleep Disorders Center of North Carolina LLC | Internal Medicine | 658 N Spence Ave, Goldsboro, NC 27534-4233 | 2020-02-20 |
| 1437782109 | Nations Sleep Disorders Center of The Carolinas LLC | Internal Medicine | 715 Gum Branch Rd Ste 8, Jacksonville, NC 28540-6427 | 2020-02-20 |
| 1205177045 | Novant Medical Group Inc | Internal Medicine | 11840 Southmore Dr Ste 201, Charlotte, NC 28277-0785 | 2013-03-04 |
| 1235414830 | Cleveland Health Ventures LLC | Internal Medicine | 823 E. King Street, Kings Mountain, NC 28086-3186 | 2011-10-14 |
| 1861795916 | Cleveland Health Ventures LLC | Internal Medicine | 802 N Lafayette St, Shelby, NC 28150-3831 | 2010-12-13 |
| 1043545056 | Mid Atlantic Neurology & Sleep Medicine, P.a. | Internal Medicine | 34 Office Park Dr Ste 100, Jacksonville, NC 28546-3221 | 2009-10-08 |
| 1205080314 | Lafayette Sleep Lab Pulmonology | Internal Medicine | 1746 Metromedical Dr, Fayetteville, NC 28304-3861 | 2008-11-17 |
| 1306061551 | Benjamin P Graef | Internal Medicine | 212 Le Phillip Ct Ne, Suite 105, Concord, NC 28025-2984 | 2007-04-14 |
| 1700958238 | Carolina Pulmonary and Comprehensive Sleep Center | Internal Medicine | 1198 Wyke Rd, Shelby, NC 28150-4259 | 2006-11-13 |
| 1508876418 | Glenn W Burris | Internal Medicine | 270 Pine Mountain Road, Suite 1, Hudson, NC 28638 | 2006-08-09 |
| Find all providers with the same taxonomy | ||||
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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.