TRIAD NEUROSURGICAL ASSOCIATES, P.A. (NPI# 1174561856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174561856 |
| Entity Type | Organization |
| Organization Name | TRIAD NEUROSURGICAL ASSOCIATES, P.A. |
| Practice Address |
160 Kimel Forest Dr Suite #250 Winston Salem NC 27103-6074 |
| Practice Telephone | 3367657655 |
| Practice Fax Number | 3367657939 |
| Mailing Telephone | 3367657655 |
| Mailing Fax Number | 3367657939 |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2008-05-07 |
| Authorized Official Name | WILLIAM R BROWN (PRESIDENT) |
| Authorized Official Telephone | 3367657655 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians |
| Street Address |
160 KIMEL FOREST DR SUITE #250 |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27103-6074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922069798 | Richard Leshock | Physician Assistant | 160 Kimel Forest Dr, Ste 100, Winston Salem, NC 27103-6074 | 2006-03-31 |
| 1295286334 | Anesthesia Services Associates, Pllc | Durable Medical Equipment & Medical Supplies | 160 Kimel Forest Dr, Suite 100, Winston Salem, NC 27103-6074 | 2016-10-24 |
| 1457706764 | Anesthesia Services Associates Pllc | Anesthesiology | 160 Kimel Forest Dr, Suite 100, Winston Salem, NC 27103-6074 | 2016-04-25 |
| 1720350887 | Julia Bates | Nurse Practitioner | 160 Kimel Forest Dr, Winston Salem, NC 27103-6074 | 2012-02-06 |
| 1952613473 | Valarie Mae Goines | Nurse Practitioner | 160 Kimel Forest Dr, Ste 100, Winston Salem, NC 27103-6074 | 2010-07-13 |
| 1164681979 | Timothy Norris Webster, Phd | Psychologist | 160 Kimel Forest Dr, Suite 100, Winston Salem, NC 27103-6074 | 2008-06-06 |
| 1518085844 | Robert Hugh Lester | Specialist/Technologist | 160 Kimel Forest Dr, Triad Neurosurgical Associates, Winston Salem, NC 27103-6074 | 2007-03-26 |
| 1740218148 | Tammy P. Slater | Nurse Practitioner | 160 Kimel Forest Dr, Suite #250, Winston Salem, NC 27103-6074 | 2006-06-28 |
| 1932141827 | William Ray Brown Jr. | Neurological Surgery | 160 Kimel Forest Dr, Suite #250, Winston Salem, NC 27103-6074 | 2006-06-12 |
| 1588612766 | Jennifer Elaine Wilmoth | Physician Assistant | 160 Kimel Forest Dr, Suite 100, Winston Salem, NC 27103-6074 | 2006-05-04 |
| 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 | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306228028 | Charles Rawlings IIi | Neurological Surgery | 426 Old Salem Rd, Winston Salem, NC 27101-5268 | 2015-06-19 |
| 1497080006 | Novant Medical Group Inc | Neurological Surgery | 190 Kimel Park Dr Ste 155, Winston Salem, NC 27103-6946 | 2009-10-15 |
| 1568606747 | Mark Russell Witcher | Neurological Surgery | Dept. of Neurosurgery, Wake Forest University, Baptist Medical Center, Medical Center Blvd., Winston Salem, NC 27127-7580 | 2009-05-01 |
| 1003083148 | Dennis Michael Campbell | Neurological Surgery | 185 Kimel Park Dr Ste 100, Winston Salem, NC 27103-6973 | 2008-05-08 |
| 1003917725 | Neurosurgical Associates of The | Neurological Surgery | 2810 Maplewood Ave, Winston Salem, NC 27103-4138 | 2006-09-26 |
| 1396798732 | Thomas A Sweasey | Neurological Surgery | 185 Kimel Park Dr Ste 201, Winston Salem, NC 27103-6973 | 2006-05-18 |
| 1891317152 | Serdar Kaya | Neurological Surgery | Medical Center Blvd Janeway Tower 4th Floor, Winston Salem, NC 27157-0001 | 2020-05-09 |
| 1700207818 | Neurosurgery and Pain Specialists of The Carolinas, P.C. | Neurological Surgery | 730 Highland Oaks Dr, Suite 105, Winston Salem, NC 27103-7154 | 2013-12-17 |
| 1063764140 | Adrian Walter Laxton | Neurological Surgery | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2012-10-12 |
| 1215222302 | Phillip Robert Dagostino | Neurological Surgery | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2011-06-16 |
| 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.