DR. MARK RUSSELL WITCHER (NPI# 1568606747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568606747 |
| Entity Type | Individual |
| Full Name | DR. MARK RUSSELL WITCHER |
| Credential | M.D. |
| Practice Address |
Dept. of Neurosurgery, Wake Forest University Baptist Medical Center, Medical Center Blvd. Winston Salem NC 27127-7580 |
| Practice Telephone | 3363413037 |
| Mailing Telephone | 3363413037 |
| Enumeration Date | 2009-05-01 |
| Last Update Date | 2015-05-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | 073884 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
DEPT. OF NEUROSURGERY, WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER, MEDICAL CENTER BLVD. |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27127-7580 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821695164 | North Davidson Dialysis Center of Wake Forest University | Clinic/Center | 295 Millers Creek Drive, Winston Salem, NC 27127 | 2020-10-08 |
| 1326654963 | Procare Home Health, LLC | Home Health | 12133 Nc-150 Suite C, Winston-salem, NC 27127 | 2020-09-18 |
| 1952809576 | Lamboy and Rubio Dds Pa | Dentist | 2563 Peters Creek Pkwy, Winston Salem, NC 27127 | 2018-01-29 |
| 1427403815 | Ramona Rorie Griffin Noble | Counselor | 1348 Westgate Center Drive Suite 202, Winston Salem, NC 27127 | 2016-05-04 |
| 1205295680 | Kia Johnson | Dentist | 2101 Peters Creek Pkwy Ste 16-19, Winston Salem, NC 27127 | 2016-02-15 |
| 1487030060 | Llibott Consultorios Medicos- Ws,pllc | Clinic/Center | 1145 Silas Creek Pkwy, Winston Salem, NC 27127 | 2015-08-05 |
| 1740688266 | Bonnie M. Clifton | Specialist/Technologist | 800 Salisbury Ridge Rd, Winston-salem, NC 27127 | 2014-12-16 |
| 1740606706 | Yen T Nguyen Dmd Pllc | Dentist | 2375 Brewer Road, Winston-salem, NC 27127 | 2014-03-13 |
| 1316254451 | Marquis D. Bailey | Specialist | 200 Alexander Preston Ln, Winston - Salem, NC 27127 | 2010-09-10 |
| 1093991234 | Independent Living Group Home, LLC | Custodial Care Facility | 924 Cloister Dr, Winston Salem, NC 27127 | 2008-01-17 |
| Find all providers in zip 27127 | ||||
| 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 |
| 1497080006 | Novant Medical Group Inc | Neurological Surgery | 190 Kimel Park Dr Ste 155, Winston Salem, NC 27103-6946 | 2009-10-15 |
| 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 | 27127 |
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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.