BETHANY MEDICAL CENTER (NPI# 1467829663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467829663 |
| Entity Type | Organization |
| Organization Name | BETHANY MEDICAL CENTER |
| Practice Address |
575 N Patterson Ave Suite 440 Winston Salem NC 27101-4101 |
| Mailing Address |
507 N Lindsay St High Point NC 27262-4303 |
| Practice Telephone | 8777228910 |
| Mailing Telephone | 3368830029 |
| Mailing Fax Number | 3368992188 |
| Enumeration Date | 2015-08-24 |
| Last Update Date | 2015-08-24 |
| Authorized Official Name | LENIN J PETERS (PRESIDENT/CEO) |
| Authorized Official Telephone | 3368830029 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | BETHANY ADVANCE DIAGNOSTIC LAB |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 34D2089959 | NC | Laboratories |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861049231 | Bethany Medical Center | Internal Medicine | 975 Hwy 66 S, Kernersville, NC 27284 | 2019-08-21 |
| 1508341736 | Bethany Medical Center | Anesthesiology | 190 Independence Ave Ste B, North Wilkesboro, NC 28659-4270 | 2018-10-03 |
| 1992133870 | Bethany Medical Center | Pathology | 100 N Bridge St, Suite C, Wilkesboro, NC 28697-2488 | 2013-10-31 |
| 1972065282 | Bethany Medical Center | Dermatology | 410 College Rd, Greensboro, NC 27410-5151 | 2019-04-04 |
| 1508328816 | Bethany Medical Center | Dermatology | 4002 Spring Garden St, Greensboro, NC 27407-1683 | 2019-04-04 |
| 1528525839 | Bethany Medical Center | Dermatology | 1908 Caudle Dr Ste 100, Mount Airy, NC 27030-4322 | 2019-02-22 |
| 1003382839 | Bethany Medical Center | Dermatology | 3801 W Market St, Greensboro, NC 27407-1301 | 2018-10-19 |
| 1710453550 | Bethany Medical Center | Anesthesiology | 5093 University Pkwy, Winston Salem, NC 27106-6085 | 2018-10-19 |
| 1528554631 | Bethany Medical Center | Pain Medicine | 160 Kimel Forest Dr Ste 100, Winston Salem, NC 27103-6084 | 2018-07-02 |
| 1255880571 | Bethany Medical Center | Internal Medicine | 1580 Skeet Club Rd, High Point, NC 27265-9005 | 2016-09-28 |
| Street Address |
575 N PATTERSON AVE SUITE 440 |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27101-4101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003421876 | Annie Carolina Mccollum | Occupational Therapist | 3 S Martin Luther King Jr Dr, Winston-salem, NC 27101 | 2020-09-09 |
| 1891321337 | Philippe Ayres | Personal Emergency Response Attendant | 475 Vine St., Bowman Gray Center for Medical Education, Winston-salem, NC 27101 | 2020-03-17 |
| 1497385595 | Aereil Moore | Counselor | 655 West 4th St, Winston Salem, NC 27101 | 2020-01-17 |
| 1619519428 | Brandi Melissa Decriscio | Nurse Practitioner | 1200 N Martin Luther King Jr Drive, Winston-salem, NC 27101 | 2019-10-14 |
| 1316502909 | Burke Street Chiropractic, Pllc | Chiropractor | 1016 Burke St., Winston-salem, NC 27101 | 2019-05-08 |
| 1790349728 | Nakia Carter | Counselor | 1o1o W. Northwest Boulevard, Winston-salem, NC 27101 | 2019-04-25 |
| 1003391251 | Hannah Fortwengler Rainey | Nurse Anesthetist, Certified Registered | Medical Center Blvrd, Winston-salem, NC 27101 | 2018-10-03 |
| 1750875928 | Susan Wilhelm Patterson | Nurse Practitioner | 1200 Martin Luther King Jr Dr, Winston-salem, NC 27101 | 2018-06-20 |
| 1194228049 | Anjanette Gilley Benjamin | Counselor | 650 Highland Ave Ste 1000, Winston Salem, NC 27101 | 2018-03-16 |
| 1376054627 | Paulisha Da-shawna Mcintyre | Social Worker | 650 Highland Ave Ste 101, Winston Salem, NC 27101 | 2017-10-13 |
| Find all providers in zip 27101 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861016594 | Zenith Labs LLC | Clinical Medical Laboratory | 3000 Bethesda Pl Ste 201, Winston Salem, NC 27103-3324 | 2020-05-28 |
| 1659709798 | Alliance Assessments, LLC | Clinical Medical Laboratory | 200 Northgate Park Dr, Winston Salem, NC 27106-3480 | 2013-10-29 |
| 1144533456 | Robbie Wilson Communitity Services | Clinical Medical Laboratory | 1001 S Marshall St Ste 53, Winston Salem, NC 27101-5858 | 2010-07-16 |
| 1992035265 | P & W Dobbs, LLC | Clinical Medical Laboratory | 4920 Thales Rd, Winston Salem, NC 27104-4562 | 2010-01-07 |
| 1780727719 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 2932 Lyndhurst Ave, Winston Salem, NC 27103-4027 | 2007-02-15 |
| 1376513515 | Allergy Centers of America LLC | Clinical Medical Laboratory | 190 Charlois Blvd, Winston Salem, NC 27103-1522 | 2006-01-23 |
| 1861477242 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 2530 Empire Dr, Winston Salem, NC 27103-6710 | 2005-12-08 |
| 1902274327 | Lab Results, LLC. | Clinical Medical Laboratory | 8005 N Point Blvd, J, Winston Salem, NC 27106-3267 | 2015-09-02 |
| 1437424975 | Pathologists Diagnostic Laboratory Pa | Clinical Medical Laboratory | 630 Brookwood Business Park Dr, Winston Salem, NC 27105-4478 | 2012-03-16 |
| 1609162098 | North Carolina Baptist Hospital | Clinical Medical Laboratory | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2011-06-23 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27101 |
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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.