NOVANT MEDICAL GROUP INC (NPI# 1497080006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497080006 |
Entity Type | Organization |
Organization Name | NOVANT MEDICAL GROUP INC |
Other Organization Name | NOVANT HEALTH FORSYTH BRAIN AND SPINE SURGERY |
Practice Address |
190 Kimel Park Dr Ste 155 Winston Salem NC 27103-6946 |
Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
Practice Telephone | 3367656637 |
Practice Fax Number | 3367656964 |
Mailing Telephone | 3367656637 |
Mailing Fax Number | 3367656964 |
Enumeration Date | 2009-10-15 |
Last Update Date | 2020-03-11 |
Authorized Official Name | SHALA DAVIS (ENROLLMENT MANAGER) |
Authorized Official Telephone | 7043167845 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Novant Health Brain and Spine Surgery | Doing Business As Name - Organization |
Novant Health Forsyth Brain and Spine Surgery | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700433711 | Novant Medical Group Inc | Psychiatry & Neurology | 933 Rockford St Ste 2, Mount Airy, NC 27030-5323 | 2019-08-23 |
1205481009 | Novant Medical Group Inc | Dermatology | 6324 Fairview Rd # 200, Charlotte, NC 28210-3271 | 2019-08-08 |
1033675079 | Novant Medical Group Inc | Psychiatry & Neurology | 1918 Randolph Rd Ste 320, Charlotte, NC 28207-1109 | 2019-02-14 |
1205355799 | Novant Medical Group Inc | Family Medicine | 16525 Holly Crest Ln Ste 250, Huntersville, NC 28078-4912 | 2017-09-15 |
1679090468 | Novant Medical Group Inc | Internal Medicine | 12311 Copper Way Ste 100, Charlotte, NC 28277-3643 | 2017-08-23 |
1003332016 | Novant Medical Group Inc | Internal Medicine | 10030 Gilead Rd Ste 344, Huntersville, NC 28078-7545 | 2017-08-22 |
1255709432 | Novant Medical Group Inc | Family Medicine | 19485 Old Jetton Road, Suite 100, Cornelius, NC 28031-6583 | 2015-09-04 |
1215326665 | Novant Medical Group Inc | Surgery | 819 N Atlantic Ave, Southport, NC 28461-3531 | 2015-01-22 |
1194113662 | Novant Medical Group Inc | Obstetrics & Gynecology | 1730 Kernersville Medical Parkway, Suite 104, Kernersville, NC 27284-7198 | 2015-01-06 |
1437556594 | Novant Medical Group Inc | Internal Medicine | 13 Medical Campus, Suite 102, Supply, NC 28462-4093 | 2014-12-04 |
Entity Type | Entity Name | Entity Address |
---|---|---|
North Carolina Corporations | Novant Medical Group Inc. | 2626 Glenwood Ave Ste 550, Raleigh, NC 27608 |
Virginia Business Entities | Novant Medical Group Inc. | 2085 Frontis Plaza Blvd, Winston Salem, North Carolina 27103 |
Street Address |
190 KIMEL PARK DR STE 155 |
City | WINSTON SALEM |
State | NC |
Zip Code | 27103-6946 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235781782 | William Austin Beshears | Nurse Practitioner | 190 Kimel Park Dr Ste 155, Winston Salem, NC 27103-6946 | 2019-07-15 |
1760921522 | Sarah Bush | Nurse Practitioner | 190 Kimel Park Dr Ste 155, Winston Salem, NC 27103-6946 | 2017-02-13 |
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 | 207T00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Neurological Surgery |
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306228028 | Charles Rawlings IIi | Neurological Surgery | 426 Old Salem Rd, Winston Salem, NC 27101-5268 | 2015-06-19 |
1568606747 | Mark Russell Witcher | Neurological Surgery | Dept. of Neurosurgery, Wake Forest University, Baptist Medical Center, Medical Center Blvd., Winston Salem, NC 27127-7580 | 2009-05-01 |
1003083148 | Dennis Michael Campbell | Neurological Surgery | 185 Kimel Park Dr Ste 100, Winston Salem, NC 27103-6973 | 2008-05-08 |
1003917725 | Neurosurgical Associates of The | Neurological Surgery | 2810 Maplewood Ave, Winston Salem, NC 27103-4138 | 2006-09-26 |
1396798732 | Thomas A Sweasey | Neurological Surgery | 185 Kimel Park Dr Ste 201, Winston Salem, NC 27103-6973 | 2006-05-18 |
1891317152 | Serdar Kaya | Neurological Surgery | Medical Center Blvd Janeway Tower 4th Floor, Winston Salem, NC 27157-0001 | 2020-05-09 |
1700207818 | Neurosurgery and Pain Specialists of The Carolinas, P.C. | Neurological Surgery | 730 Highland Oaks Dr, Suite 105, Winston Salem, NC 27103-7154 | 2013-12-17 |
1063764140 | Adrian Walter Laxton | Neurological Surgery | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2012-10-12 |
1215222302 | Phillip Robert Dagostino | Neurological Surgery | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2011-06-16 |
1588897029 | Stacey Quintero Wolfe | Neurological Surgery | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2009-09-01 |
Find all providers in WINSTON SALEM |
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.