RICHARD LEE RAUCK (NPI# 1205889938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205889938 |
| Entity Type | Individual |
| Full Name | RICHARD LEE RAUCK |
| Credential | MD |
| Practice Address |
145 Kimel Park Dr Suite 330 Winston Salem NC 27103-6984 |
| Practice Telephone | 3367656181 |
| Practice Fax Number | 3367658492 |
| Mailing Telephone | 3367656181 |
| Mailing Fax Number | 3367658492 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2020-09-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
30458 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS | 70536 | 01 |
| NC | 7970536 | 05 |
| Street Address |
145 KIMEL PARK DR SUITE 330 |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27103-6984 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447775119 | Emily Moon | Nurse Anesthetist, Certified Registered | 145 Kimel Park Dr, Suite 120, Winston Salem, NC 27103 | 2017-08-03 |
| 1972039329 | Matthew Bryant Foster | Nurse Anesthetist, Certified Registered | 145 Kimel Park Dr, Suite 120, Winston Salem, NC 27103-6984 | 2017-05-04 |
| 1790228278 | Emily Stone | Nurse Anesthetist, Certified Registered | 145 Kimel Park Dr, Suite 120, Winston Salem, NC 27103-6984 | 2016-12-01 |
| 1437603891 | Evan Blake Moon | Nurse Anesthetist, Certified Registered | 145 Kimel Park Dr, Suite 120, Winston Salem, NC 27103-6984 | 2016-08-15 |
| 1407309677 | Patrick James Parcell | Nurse Anesthetist, Certified Registered | 145 Kimel Park Dr, Suite 120, Winston Salem, NC 27103-6984 | 2016-07-25 |
| 1518410786 | Jessica Lloyd Rothrock | Nurse Anesthetist, Certified Registered | 145 Kimel Park Dr, Suite 120, Winston Salem, NC 27103-6984 | 2016-07-25 |
| 1063965234 | Benjamin Joseph Boehnlein | Nurse Anesthetist, Certified Registered | 145 Kimel Park Dr, Suite 120, Winston Salem, NC 27103-6984 | 2016-07-25 |
| 1891171682 | Nicholas Dane Pulliam | Nurse Anesthetist, Certified Registered | 145 Kimel Park Dr, Suite 120, Winston Salem, NC 27103-6984 | 2015-08-04 |
| 1790161818 | Deborah Reece | Physician Assistant | 145 Kimel Park Dr, Suite 330, Winston Salem, NC 27103-6984 | 2015-07-31 |
| 1720466840 | Kristen Marisa Bettis | Nurse Anesthetist, Certified Registered | 145 Kimel Park Dr, Suite 120, Winston Salem, NC 27103-6984 | 2015-05-08 |
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| 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 |
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| Taxonomy Code | 208VP0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Pain Medicine |
| Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient’s pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies. |
| Notes: Source: American Academy of Pain Medicine, www.painmed.org - Additional Resources:The American Board of Pain Medicine provides Board Certification. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528554631 | Bethany Medical Center | Pain Medicine | 160 Kimel Forest Dr Ste 100, Winston Salem, NC 27103-6084 | 2018-07-02 |
| 1912115395 | Jennifer Leigh Roux | Pain Medicine | 145 Kimel Park Dr, Suite 330, Winston Salem, NC 27103-6984 | 2007-05-18 |
| 1225245707 | Christopher Aaron Gilmore | Pain Medicine | 145 Kimel Park Dr, Suite 330, Winston Salem, NC 27103-6984 | 2007-05-16 |
| 1457451064 | Ernest Sidney Hodges | Pain Medicine | 160 Kimel Forest Dr Ste 100, Winston Salem, NC 27103-6084 | 2006-09-24 |
| 1376598268 | Carolinas Pain Institute, Pa | Pain Medicine | 145 Kimel Park Dr, Suite 330, Winston Salem, NC 27103-6984 | 2006-05-23 |
| 1679527543 | Robert W Keen | Pain Medicine | 145 Kimel Park Dr, Suite 330, Winston Salem, NC 27103-6984 | 2006-05-22 |
| 1780638163 | James Matthew North | Pain Medicine | 145 Kimel Park Dr, Suite 330, Winston Salem, NC 27103-6984 | 2006-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790305241 | Carolinas Pain Institute, Pa | Pain Medicine | 330 Billingsley Rd Ste 210, Charlotte, NC 28211-5055 | 2020-04-24 |
| 1841767225 | Comprehensive Pain Consultants of The Carolinas, Pllc | Pain Medicine | 108 Monticello Rd, Weaverville, NC 28787-8936 | 2018-10-24 |
| 1972085918 | Dynamic Health Medical Group Pllc | Pain Medicine | 4705 South Blvd, Charlotte, NC 28217 | 2018-09-06 |
| 1891151726 | Latoya Long-gregory | Pain Medicine | 108 S Main St Ste F, Davidson, NC 28036-8096 | 2016-01-07 |
| 1154485977 | Veronica L Alston | Pain Medicine | Joel Health Clinic Bldg 4851, Fort Bragg, NC 28310-0001 | 2006-12-20 |
| 1407860638 | Miles D Hyman | Pain Medicine | 1018 E Main St, Franklin, NC 28734-2676 | 2006-07-27 |
| 1689627200 | Aaron H Gootman | Pain Medicine | 1840 Owen Dr, Fayetteville, NC 28304-1633 | 2006-05-17 |
| 1275511966 | Mark Lucas Phillips | Pain Medicine | 522 N Elam Ave, Ste 203, Greensboro, NC 27403-1151 | 2006-01-04 |
| 1275510570 | David Spivey | Pain Medicine | 2912 Maplewood Ave, Winston-salem, NC 27103-1507 | 2005-12-28 |
| 1326033879 | Steven K Brockman | Pain Medicine | 1112 Yancey St, Shelby, NC 28150-3672 | 2005-09-12 |
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| 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.