KEVIN JAMES SHEFFERLY (NPI# 1184100901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184100901 |
| Entity Type | Individual |
| Full Name | KEVIN JAMES SHEFFERLY |
| Credential | MMS IN PA STUDIES |
| Practice Address |
1 Medical Center Blvd Winston Salem NC 27157-0001 |
| Mailing Address |
2346 Lyndhurst Ave Winston Salem NC 27103-3603 |
| Practice Telephone | 3367162011 |
| Mailing Telephone | 8046789485 |
| Enumeration Date | 2018-07-15 |
| Last Update Date | 2018-07-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 0010-08249 | NC | Allopathic & Osteopathic Physicians |
| Street Address |
1 MEDICAL CENTER BLVD |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27157-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801495387 | Gillian Grace Winter | Internal Medicine | 1 Medical Center Blvd, Winston Salem, NC 27157-0001 | 2020-10-26 |
| 1679188122 | Nicholas Alexander Perri | Nurse Anesthetist, Certified Registered | 1 Medical Center Blvd, Winston Salem, NC 27157-0001 | 2020-09-11 |
| 1760096069 | Taylor Victoria Ellen Mcghee | Pharmacist | 1 Medical Center Blvd, Winston Salem, NC 27157-0001 | 2020-09-03 |
| 1083223655 | Ruth Barber | Registered Nurse | 1 Medical Center Blvd, Winston Salem, NC 27157-0001 | 2020-07-29 |
| 1619594777 | Elizabeth Grace St. Amand | Internal Medicine | 1 Medical Center Blvd, Winston Salem, NC 27157-0001 | 2020-07-06 |
| 1932725116 | Maxwell Joseph Brenner | Student in an Organized Health Care Education/Training Program | 1 Medical Center Blvd, Winston Salem, NC 27157-0001 | 2020-06-23 |
| 1184249393 | Adaku Anike | Nurse Practitioner | 1 Medical Center Blvd, Winston Salem, NC 27157-0001 | 2020-06-12 |
| 1659996445 | Christie Alexa Smesko | Physician Assistant | 1 Medical Center Blvd, Winston Salem, NC 27157-0001 | 2020-06-08 |
| 1093337081 | Geoffrey Alexander Reid Jones | Physician Assistant | 1 Medical Center Blvd, Winston Salem, NC 27157-6769 | 2020-05-12 |
| 1306468608 | Emmaline Katherine Stilp | Physician Assistant | 1 Medical Center Blvd, Winston Salem, NC 27157-0001 | 2020-05-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255960241 | Alexandra Marie Balmaceda | Student in an Organized Health Care Education/Training Program | Wake Forest Baptist Medical Center Pathology Dept, #1 Medical Center Blvd., Winston-salem, NC 27157 | 2020-04-02 |
| 1164916680 | Jorie Elizabeth Gatts | Student in an Organized Health Care Education/Training Program | Wake Forest Baptist Medical Department of Pediatrics, Winston Salem, NC 27157 | 2018-06-18 |
| 1932606555 | Alexi Rae Ellington Webb | Student in an Organized Health Care Education/Training Program | Wake Forest School of Medicine, Dept of Psychiatry, Medical Center Blvd, Winston Salem, NC 27157 | 2018-04-10 |
| 1851896674 | Wasim Muhammad | Student in an Organized Health Care Education/Training Program | Wake Forest School of Medicine Dept. of Psychiatry, Medical Center Blvd, Winston Salem, NC 27157 | 2018-03-25 |
| 1336643535 | Phillip Martin Kostelic | Student in an Organized Health Care Education/Training Program | Anesthesiology - Wake Forest Baptist Medical Center, 1 Medical Center Blvd, Winston-salem, NC 27157 | 2018-03-21 |
| 1831693324 | Aleah Bond | Student in an Organized Health Care Education/Training Program | Anesthesiology Wake Forest Baptist Medical Center, Medical Center Boulevard, Winston-salem, NC 27157 | 2018-03-20 |
| 1134644859 | Ilan Binyamin Klein | Urology | Wake Forest Baptist Health, Department of Urology, Medical Center Boulevard, Winston-salem, NC 27157 | 2017-08-03 |
| 1023467529 | Edward John Doyle IIi | Student in an Organized Health Care Education/Training Program | Wake Forest School of Medicine Dept. of Otolaryngology, Watlington Hall 4th Fl. Medical Center Boulevard, Winston-salem, NC 27157 | 2016-06-07 |
| 1477917888 | Jordan Mae Burner | Student in an Organized Health Care Education/Training Program | Graduate Medical Education Office, Wake Forest Baptist Medical Center, Medical Center Blvd, Winston-salem, NC 27157 | 2016-04-12 |
| 1174900476 | Kate Elise Winterbottom | Speech-Language Pathologist | 4 Janeway Medical Center Blvd, Hearing and Speech, Winston Salem, NC 27157 | 2015-05-06 |
| Find all providers in zip 27157 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891112389 | Marshall Snow | Otolaryngology | 109 Piedmont Ave, Winston Salem, NC 27101-3607 | 2014-03-24 |
| 1427360627 | Eleanor Pitz Kiell | Otolaryngology | Medical Center Blvd Dept of Otolaryngology, Winston Salem, NC 27157-4319 | 2010-07-06 |
| 1942328463 | William Madison Satterwhite Jr. | Otolaryngology | 2135 New Walkertown Rd, Winston Salem, NC 27101-3420 | 2007-03-26 |
| 1073593943 | Ronald Bernard Shealy | Otolaryngology | 110 Charlois Blvd, Winston Salem, NC 27103-1522 | 2006-01-18 |
| 1801184437 | Hafiz Patwa | Otolaryngology | 131 Miller St, Winston Salem, NC 27103-2508 | 2011-07-18 |
| 1609194802 | Stuart David Ginn I | Otolaryngology | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2010-05-12 |
| 1538486196 | Michele Marie Gandolfi | Otolaryngology | Medical Center Blvd, Winston Salem, NC 27157-4201 | 2010-04-22 |
| 1104151919 | Lyndsay Leigh Madden | Otolaryngology | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2009-10-12 |
| 1235394909 | David Henao | Otolaryngology | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2008-07-22 |
| 1285818856 | Drew Patterson Plonk | Otolaryngology | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2007-12-19 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27157 |
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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.