SUMMIT SLEEP DISORDER CENTER, PA (NPI# 1295851848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295851848 |
Entity Type | Organization |
Organization Name | SUMMIT SLEEP DISORDER CENTER, PA |
Practice Address |
160 Charlois Blvd Winston Salem NC 27103-1522 |
Practice Telephone | 3367685834 |
Practice Fax Number | 3367654889 |
Mailing Telephone | 3367685834 |
Mailing Fax Number | 3367654889 |
Enumeration Date | 2007-03-22 |
Last Update Date | 2020-08-22 |
Authorized Official Name | PATRICIA C PULLIAM (VICE PRESIDENT ADMINISTRATION) |
Authorized Official Telephone | 3367685834 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084S0012X |
Psychiatry & Neurology Specialization: Sleep Medicine |
19652 | NC | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | BLUE CROSS BLUE SHIELD NC | 01151 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952423717 | Summit Sleep Disorder Center, Pa | Psychiatry & Neurology | 760 Hartness Rd, Statesville, NC 28677-3425 | 2007-04-04 |
1952427650 | Summit Sleep Disorder Center, Pa | Psychiatry & Neurology | 160 Charlois Blvd, Winston Salem, NC 27103-1522 | 2007-03-22 |
1043336951 | Summit Sleep Disorder Center, Pa | Psychiatry & Neurology | 160 Charlois Blvd, Winston Salem, NC 27103-1522 | 2007-03-22 |
1205968963 | Summit Sleep Disorder Center, Pa | Psychiatry & Neurology | 160 Charlois Blvd, Winston Salem, NC 27103-1522 | 2007-03-09 |
Street Address |
160 CHARLOIS BLVD |
City | WINSTON SALEM |
State | NC |
Zip Code | 27103-1522 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982646600 | Anne S. Stupka | Nurse Practitioner | 160 Charlois Blvd, Winston Salem, NC 27103-1522 | 2006-06-11 |
1992011423 | Vickie Sink Spencer | Nurse Practitioner | 160 Charlois Blvd, Winston Salem, NC 27103-1522 | 2010-08-21 |
1952427650 | Summit Sleep Disorder Center, Pa | Psychiatry & Neurology | 160 Charlois Blvd, Winston Salem, NC 27103-1522 | 2007-03-22 |
1043336951 | Summit Sleep Disorder Center, Pa | Psychiatry & Neurology | 160 Charlois Blvd, Winston Salem, NC 27103-1522 | 2007-03-22 |
1205968963 | Summit Sleep Disorder Center, Pa | Psychiatry & Neurology | 160 Charlois Blvd, Winston Salem, NC 27103-1522 | 2007-03-09 |
1497869358 | John Baldwin Smith IIi | Psychiatry & Neurology | 160 Charlois Blvd, Winston Salem, NC 27103-1522 | 2006-08-18 |
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 | 2084S0012X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Sleep Medicine |
A Psychiatrist or Neurologist 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 |
---|---|---|---|---|
1871858316 | Sushrusha Arjyal | Psychiatry & Neurology | 1 Medical Center Blvd, Department of Neurology, Winston Salem, NC 27157-0001 | 2012-07-11 |
1952427650 | Summit Sleep Disorder Center, Pa | Psychiatry & Neurology | 160 Charlois Blvd, Winston Salem, NC 27103-1522 | 2007-03-22 |
1043336951 | Summit Sleep Disorder Center, Pa | Psychiatry & Neurology | 160 Charlois Blvd, Winston Salem, NC 27103-1522 | 2007-03-22 |
1205968963 | Summit Sleep Disorder Center, Pa | Psychiatry & Neurology | 160 Charlois Blvd, Winston Salem, NC 27103-1522 | 2007-03-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356668834 | Carolinas Sleep Specialists Pa | Psychiatry & Neurology | 920 Copperfield Blvd Ne, Concord, NC 28025-2433 | 2010-04-23 |
1578890521 | Sound Sleep Interpretations LLC | Psychiatry & Neurology | 2103 Bay Ct, High Point, NC 27265-9323 | 2009-11-12 |
1154559847 | Dt Neuro Consulting Pllc | Psychiatry & Neurology | 21 Meadow Crossing Ct, Greensboro, NC 27410-9734 | 2009-07-01 |
1265622377 | Novant Medical Group, Inc. | Psychiatry & Neurology | 14215 Ballantyne Coporate Place, Suite 230, Charlotte, NC 28277-3874 | 2007-07-26 |
1952423717 | Summit Sleep Disorder Center, Pa | Psychiatry & Neurology | 760 Hartness Rd, Statesville, NC 28677-3425 | 2007-04-04 |
1972524361 | Jason A Peck | Psychiatry & Neurology | 8037 Corporate Center Drive, Suite 400, Charlotte, NC 28226-4550 | 2006-07-21 |
1265068027 | Watauga Medical Center Inc | Psychiatry & Neurology | 336 Deerfield Rd, Boone, NC 28607-5008 | 2020-03-12 |
1386284511 | Greater Carolina Sleep Diagnostics Pllc | Psychiatry & Neurology | 4111 Capitol St Ste A, Durham, NC 27704-2153 | 2020-01-15 |
1215411723 | Novant Medical Group Inc | Psychiatry & Neurology | 330 Billingsley Rd Ste 202, Charlotte, NC 28211-5020 | 2018-09-20 |
1497232318 | Novant Medical Group Inc | Psychiatry & Neurology | 2801 Randolph Rd Ste 101, Charlotte, NC 28211-1051 | 2018-07-24 |
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.