DIGESTIVE HEALTH SPECIALISTS, PA (NPI# 1306005343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306005343 |
| Entity Type | Organization |
| Organization Name | DIGESTIVE HEALTH SPECIALISTS, PA |
| Practice Address |
2025 Frontis Plaza Blvd Suite 200 Winston Salem NC 27103-5663 |
| Practice Telephone | 3367686211 |
| Practice Fax Number | 3367686869 |
| Mailing Telephone | 3367686211 |
| Mailing Fax Number | 3367686869 |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2017-05-17 |
| Authorized Official Name | JACQUELYN TILLINGER (CEO) |
| Authorized Official Telephone | 3367686211 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
AS0099 | NC | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | NPI | 1306005343 | 01 |
| NC | 3409955 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275930968 | Digestive Health Specialists, Pa | Internal Medicine | 434 Kirby Rd, Lower Level Suite 6, King, NC 27021-9494 | 2014-11-25 |
| 1073745485 | Digestive Health Specialists, Pa | Internal Medicine | 112 Kinderton Blvd, Advance, NC 27006 | 2009-08-18 |
| 1841474384 | Digestive Health Specialists, Pa | Internal Medicine | 137 Mount Calvary Rd, Suite A, Thomasville, NC 27360-3467 | 2007-12-19 |
| 1912476367 | Digestive Health Specialists, Pa | Clinic/Center | 434 Kirby Rd, King, NC 27021-9494 | 2018-11-15 |
| 1497209613 | Digestive Health Specialists, Pa | Internal Medicine | 6316 Old Oak Ridge Rd, Greensboro, NC 27410-9939 | 2016-08-04 |
| 1487090452 | Digestive Health Specialists, Pa | Clinic/Center | 137 Mount Calvary Rd, Suite A, Thomasville, NC 27360-3467 | 2013-05-17 |
| 1184976797 | Digestive Health Specialists, Pa | Clinic/Center | 280 Broad St, Suite F, Kernersville, NC 27284-2796 | 2012-10-05 |
| 1538411145 | Digestive Health Specialists, Pa | Clinic/Center | 112 Kinderton Blvd, Advance, NC 27006-7302 | 2012-10-05 |
| 1346474566 | Digestive Health Specialists, Pa | Internal Medicine | 280 Broad St, Suite F, Kernersville, NC 27284-2796 | 2009-05-04 |
| 1801837745 | Digestive Health Specialists, Pa | Internal Medicine | 2025 Frontis Plaza Blvd, Suite 200, Winston-salem, NC 27103-5663 | 2006-06-10 |
| Street Address |
2025 FRONTIS PLAZA BLVD SUITE 200 |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27103-5663 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487654216 | Dianna Lynn Seldomridge | Ophthalmology | 2025 Frontis Plaza Blvd, Suite 100, Winston Salem, NC 27103-5663 | 2005-07-22 |
| 1750875092 | Spencer Ray Martin | Physician Assistant | 2025 Frontis Plaza Blvd, Winston Salem, NC 27103-5663 | 2018-06-20 |
| 1780063958 | Novant Medical Group, Inc. | Psychiatry & Neurology | 2025 Frontis Plaza Blvd, Suite 120, Winston Salem, NC 27103-5663 | 2015-05-21 |
| 1679820419 | Ashley Monroe Campbell | Nurse Practitioner | 2025 Frontis Plaza Blvd, Suite 120, Winston Salem, NC 27103-5663 | 2012-08-11 |
| 1649534629 | Meredith M. Williams | Physician Assistant | 2025 Frontis Plaza Blvd, Suite 200, Winston Salem, NC 27103-5663 | 2012-06-25 |
| 1902050321 | Sean Patrick Giese | Nurse Practitioner | 2025 Frontis Plaza Blvd, Suite 120, Winston Salem, NC 27103-5663 | 2008-11-12 |
| 1932351830 | Dhyan Rajan | Internal Medicine | 2025 Frontis Plaza Blvd, Suite 200, Winston Salem, NC 27103-5663 | 2008-10-22 |
| 1427213149 | Apsara Prasad | Internal Medicine | 2025 Frontis Plaza Blvd, Suite 200, Winston Salem, NC 27103-5663 | 2008-07-22 |
| 1518120187 | Ashley H. Long | Physician Assistant | 2025 Frontis Plaza Blvd, Suite 200, Winston Salem, NC 27103-5663 | 2008-07-03 |
| 1053571620 | Marcum G Gillis | Internal Medicine | 2025 Frontis Plaza Blvd, Suite 200, Winston Salem, NC 27103-5663 | 2008-06-16 |
| 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 | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558983833 | Triad Center for Surgery, LLC | Clinic/Center | 180 Kimel Park Dr Ste 200, Winston Salem, NC 27103-6970 | 2020-05-10 |
| 1215263082 | Ncbh Outpatient Endoscopy Center, L.L.C. | Clinic/Center | 101 Charlois Blvd, Winston Salem, NC 27103-1537 | 2009-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342481 | Piedmont Asc LLC | Clinic/Center | 7819 National Service Rd Ste 404, Greensboro, NC 27409-9401 | 2020-10-02 |
| 1922639426 | Associated Health Services, Inc. | Clinic/Center | 5601 Arringdon Park Dr, Morrisville, NC 27560-5643 | 2020-02-03 |
| 1861038606 | Southern Surgical Outpatient Surgery Center, Pa | Clinic/Center | 2457 Emerald Place, Greenville, NC 27834 | 2019-11-26 |
| 1528521887 | Novant Health Clemmons Outpatient Surgery, LLC | Clinic/Center | 7210 Village Medical Circle, Suite # 235, Clemmons, NC 27012 | 2019-04-12 |
| 1437623626 | Prime Surgical Suites, LLC | Clinic/Center | 180 Riverbend Dr, Granite Falls, NC 28630 | 2019-01-22 |
| 1982178042 | Langtree Endoscopy Center, LLC | Clinic/Center | 106 Alexander Bank Drive, Suite 101, Mooresville, NC 28117 | 2019-01-11 |
| 1124594338 | Charlotte Surgery Center, LLC | Clinic/Center | 3621 Randolph Rd Ste 200, Charlotte, NC 28211-0027 | 2018-10-16 |
| 1750892659 | Novant Health Kernersville Outpatient Surgery LLC | Clinic/Center | 1730 Kernersville Medical Pkwy Ste 304, Kernersville, NC 27284-7198 | 2017-10-18 |
| 1821510579 | Novant Health Brunswick Endoscopy Center, LLC | Clinic/Center | 13 Medical Campus Dr, Suite 101, Supply, NC 28462 | 2017-07-14 |
| 1225568884 | Wake Forest Ambulatory Ventures, LLC | Clinic/Center | 6441 Kinnamon Ct, Winston-salem, NC 27103 | 2017-06-15 |
| 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.