HEALTH STATUS EVALUATIONS LLC


Address: 3801 N Liberty St, Suite 210 Smith Reynolds Airport Terminal, Winston Salem, NC 27105-3968
Phone: 3367447171

HEALTH STATUS EVALUATIONS LLC (NPI# 1598835373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1598835373
Entity Type Organization
Organization Name HEALTH STATUS EVALUATIONS LLC
Practice Address 3801 N Liberty St
Suite 210 Smith Reynolds Airport Terminal
Winston Salem
NC 27105-3968
Practice Telephone 3367447171
Practice Fax Number 3367447182
Mailing Telephone 3367447171
Mailing Fax Number 3367447182
Enumeration Date 2006-11-08
Last Update Date 2020-08-22
Authorized Official Name DR. HUBERT F BONFILI (MEDICAL DIRECTOR)
Authorized Official Telephone 3367447171
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2083A0100X Preventive Medicine
Specialization: Aerospace Medicine
9300041 NC Allopathic & Osteopathic Physicians

Office Location

Street Address 3801 N LIBERTY ST
SUITE 210 SMITH REYNOLDS AIRPORT TERMINAL
City WINSTON SALEM
State NC
Zip Code 27105-3968

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NPI Name Taxonomy Address Enumeration
1346711827 Allison Colette Steinhaus Counselor 8025 Northpoint Blvd, Winston Salem, NC 27105 2018-12-10
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1427459981 Tammy Bartlett Physical Therapy Assistant 4850 Sandusky St., Winston Salem, NC 27105 2014-09-15
1194154229 Marla C Torrence Counselor 4140 N. Cherry Street, Winston Salem, NC 27105 2013-11-08
1629313051 Lydia L. Barber Counselor 420 Forest Hills Ave, Winston Salem, NC 27105 2012-12-12
1023362530 Helen Doby Martin Home Health Aide 4782 Butchwood Drive, Winston-salem, NC 27105 2012-11-06
1740545284 Hines Good Samaritan Home Technician 2219 Manchester St., Winston-salem, NC 27105 2012-07-11
1043518129 Alda Petra Bernardez Pharmacist 3539 Patterson Avenue, Winston Salem, NC 27105 2011-03-14
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Taxonomy Information

Taxonomy Code 2083A0100X
Grouping Allopathic & Osteopathic Physicians
Classification Preventive Medicine
Specialization Aerospace Medicine

Taxonomy Definition

Aerospace medicine focuses on the clinical care, research, and operational support of the health, safety, and performance of crewmembers and passengers of air and space vehicles, together with the support personnel who assist operation of such vehicles. This population often works and lives in remote, isolated, extreme, or enclosed environments under conditions of physical and psychological stress. Practitioners strive for an optimal human-machine match in occupational settings rich with environmental hazards and engineering countermeasures.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine.

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1578643797 Anthony C Littrell Preventive Medicine Womack Army Medical Center Wamc, Credentials Office, Fort Bragg, NC 28310-0001 2006-10-16
1457367245 Johann S Westphall Preventive Medicine 933 Dalmore Dr., Fayetteville, NC 28311 2006-07-31
1487626800 Peter Wechgelaer Preventive Medicine Medical Clinic Mcas New River, Psc Box 21034, Jacksonville, NC 28545-1034 2006-02-02
1912977125 Timothy Mattison Preventive Medicine 100 Brewster Blvd Bldg H100, Camp Lejeune, NC 28547-2575 2006-01-23
1730181199 David Andrew Staneck Preventive Medicine Halyburton Naval Hospital Beaufort Rd, Bldg 3489, Cherry Point, NC 28533 2005-08-15
1518239748 Andrew Brett Sorah Preventive Medicine 1000 Blythe Blvd, Suite 601, Charlotte, NC 28203-5812 2012-02-03
1255507208 Andrew Michael Paul Preventive Medicine 4389 Beaufort Rd, Mcas Cherry Point, Havelock, NC 28533 2008-04-30
1063502862 Nicholas Nathan Sweet Preventive Medicine 100 Brewster Blvd, Camp Lejeune, NC 28547-2538 2006-10-13
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Competitor

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City WINSTON SALEM
Zip Code 27105

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Dataset Information

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.

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