WILKES PHYSICIAN NETWORK, INC. (NPI# 1427362235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427362235 |
| Entity Type | Organization |
| Organization Name | WILKES PHYSICIAN NETWORK, INC. |
| Other Organization Name | URGENT CARE OF WILKES |
| Practice Address |
1900 W Park Dr Urgent Care of Wilkes North Wilkesboro NC 28659-3563 |
| Practice Telephone | 3369036840 |
| Practice Fax Number | 3369036841 |
| Mailing Telephone | 3369036840 |
| Mailing Fax Number | 3369036841 |
| Enumeration Date | 2010-08-04 |
| Last Update Date | 2010-11-29 |
| Authorized Official Name | FRIEDA M LOWDER (SR. VICE PRESIDENT) |
| Authorized Official Telephone | 7044034146 |
| Is Organization Subpart | Y |
| Parent Organization Name | WILKES PHYSICIAN NETWORK, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | MEDICARE PTAN, GROUP | 2335816 | 01 |
| NC | 5915539 | 05 |
| Other Name | Type Code |
|---|---|
| Urgent Care of Wilkes | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891183331 | Wilkes Physician Network, Inc. | Internal Medicine | 111 Riddle Road, North Wilkesboro, NC 28659-8890 | 2015-01-07 |
| 1124482146 | Wilkes Physician Network, Inc. | Internal Medicine | 1914 W Park Dr, North Wilkesboro, NC 28659-3563 | 2016-04-06 |
| 1013324375 | Wilkes Physician Network, Inc. | Family Medicine | 171 W Wilkes Medical Center Rd, Ferguson, NC 28624-8925 | 2014-07-18 |
| 1588918338 | Wilkes Physician Network, Inc. | Family Medicine | 1900 W Park Dr, Suite-b, North Wilkesboro, NC 28659-3563 | 2012-11-01 |
| 1346538105 | Wilkes Physician Network, Inc. | Hospitalist | 1370 West D Street, North Wilkesboro, NC 28659-3506 | 2011-07-14 |
| 1750685533 | Wilkes Physician Network, Inc. | Pediatrics | 1915 West Park Dr, Suite 103, North Wilkesboro, NC 28659-3777 | 2011-01-07 |
| 1407177199 | Wilkes Physician Network, Inc. | Family Medicine | 1534 W D St, North Wilkesboro, NC 28659-3528 | 2010-06-16 |
| 1710202429 | Wilkes Physician Network, Inc. | Internal Medicine | 1404 Willow Ln, Greenway Healthcare, North Wilkesboro, NC 28659-3584 | 2010-04-06 |
| 1659602449 | Wilkes Physician Network, Inc. | Internal Medicine | 1404 Willow Ln, Wilkes Regional Gastroenterology, North Wilkesboro, NC 28659-3584 | 2010-01-19 |
| 1851628325 | Wilkes Physician Network, Inc. | Obstetrics & Gynecology | 1405 Willow Ln, Northwest Carolina Women's Center, North Wilkesboro, NC 28659-3551 | 2009-11-04 |
| Street Address |
1900 W PARK DR URGENT CARE OF WILKES |
| City | NORTH WILKESBORO |
| State | NC |
| Zip Code | 28659-3563 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992723159 | Rebecca Dawn Shatley | Nurse Practitioner | 1900 W Park Dr, North Wilkesboro, NC 28659-3563 | 2006-07-17 |
| 1437525060 | Cynthia Randall Eller | Nurse Practitioner | 1900 W Park Dr, North Wilkesboro, NC 28659-3563 | 2015-08-18 |
| 1588918338 | Wilkes Physician Network, Inc. | Family Medicine | 1900 W Park Dr, Suite-b, North Wilkesboro, NC 28659-3563 | 2012-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013579689 | Lisa C Carr | Social Worker | 1400 Willow Ln # C61-2, North Wilkesboro, NC 28659 | 2019-07-03 |
| 1780141507 | Brenda Barber | Counselor | 200 Northview Plaza, North Wilkesboro, NC 28659 | 2019-02-28 |
| 1639696941 | Lifespan Incorporated | Community/Behavioral Health | 2070 River Road, North Wilkesboro, NC 28659 | 2017-08-28 |
| 1184146011 | Daymark Recovery Services Inc | Community/Behavioral Health | 200 C.c. Wright School Road, Classrooms 126, 127, North Wilkesboro, NC 28659 | 2017-07-12 |
| 1033568258 | Rgm Al Holdings, LLC | Assisted Living Facility | 240 Independence Ave, North Wilkesboro, NC 28659 | 2016-06-08 |
| 1376997999 | Hayden Church | Driver | 29 Boone Trail, North Wilkesboro, NC 28659 | 2016-04-20 |
| 1033563192 | Nathan Grant Davis | Emergency Medicine | Wake Forest Baptist Health- Wilkes Medical Center, 1370 W D St, North Wilkesboro, NC 28659 | 2016-04-14 |
| 1720425408 | Lindsay Brooke Spears | Dentist | 1915 West Park Drive Ste 104, Wilkes Public Health Dental West, North Wilkesboro, NC 28659 | 2013-06-04 |
| 1881983419 | Pruitthealth Hospice, Inc. | Hospice Care, Community Based | 902 West D St, Ste B, North Wilkesboro, NC 28659 | 2011-04-05 |
| 1275838096 | Barium Springs Home for Children | Community Based Residential Treatment Facility, Mental Illness | 517 Boston Ave, North Wilkesboro, NC 28659 | 2011-01-26 |
| Find all providers in zip 28659 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033563192 | Nathan Grant Davis | Emergency Medicine | Wake Forest Baptist Health- Wilkes Medical Center, 1370 W D St, North Wilkesboro, NC 28659 | 2016-04-14 |
| 1699778639 | John C Canon | Emergency Medicine | 1370 W D St, North Wilkesboro, NC 28659-3506 | 2005-05-23 |
| 1548792153 | Blake Briggs | Emergency Medicine | 1370 W D St, North Wilkesboro, NC 28659-3506 | 2017-04-02 |
| 1346477841 | Jennifer Ann Walker | Emergency Medicine | 1370 West D Street, Wake Forest University Health Sciences/wilkes Regional, North Wilkesboro, NC 28659-3506 | 2009-06-11 |
| 1811123656 | Saad Al-khatib | Emergency Medicine | 1370 W D St, North Wilkesboro, NC 28659-3506 | 2009-06-08 |
| 1649406794 | Matthew Cline | Emergency Medicine | 1370 W D St, North Wilkesboro, NC 28659-3506 | 2009-06-03 |
| 1164685335 | Alice Marie Horrell | Emergency Medicine | 1370 W D St, North Wilkesboro, NC 28659-3506 | 2008-07-08 |
| 1730341934 | Daniel Thrasher Horrell | Emergency Medicine | 1370 W D St, North Wilkesboro, NC 28659-3506 | 2008-06-28 |
| 1699936567 | Melissa L Downing | Emergency Medicine | 1370 W D St, Attn: Emergency Department, North Wilkesboro, NC 28659-3506 | 2008-06-23 |
| 1376704767 | William Daniel Alley | Emergency Medicine | 1370 W D St, North Wilkesboro, NC 28659-3506 | 2008-06-19 |
| Find all providers in NORTH WILKESBORO | ||||
| City | NORTH WILKESBORO |
| Zip Code | 28659 |
Please comment or provide details below to improve the information on WILKES PHYSICIAN NETWORK, INC..
| 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.