ROBERT SCOTT EVERETT (NPI# 1639384936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639384936 |
| Entity Type | Individual |
| Full Name | ROBERT SCOTT EVERETT |
| Credential | MD, PHARM D |
| Practice Address |
Medical Center Blvd Department of Emergency Medicine Winston Salem NC 27157-0001 |
| Mailing Address |
660 Brentwood Ct Winston Salem NC 27104-2620 |
| Practice Telephone | 3367164626 |
| Practice Fax Number | 3367165438 |
| Mailing Telephone | 3367689806 |
| Mailing Fax Number | 3367689806 |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2008-10-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
127625 | NC | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003905381 | Robert Eugene Everett Jr. | Dentist | 2693 Bienville Blvd, Ocean Springs, MS 39564-3106 | 2006-10-12 |
| 1669583472 | Robert Highley Everett | Dentist | 325 Portland Ave, Gladstone, OR 97027-2450 | 2006-08-31 |
| 1215201173 | Robert Everett | Occupational Therapy Assistant | 9900 Westpark Dr, Suite 100, Houston, TX 77063-5277 | 2012-02-23 |
| 1164739918 | Robert Ervin Everett Jr. | Pharmacist | 1918 Railroad St, Statham, GA 30666-1875 | 2010-08-31 |
| Street Address |
MEDICAL CENTER BLVD DEPARTMENT OF EMERGENCY MEDICINE |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27157-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811990815 | Gary Lee Ray | Registered Nurse | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2005-05-23 |
| 1881295418 | Alan Townes Grizzard | Nurse Practitioner | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2020-11-02 |
| 1003421751 | Nicholas Ryan Tuttle | Nurse Anesthetist, Certified Registered | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2020-09-10 |
| 1356956122 | Caitlin Marie Clement | Nurse Anesthetist, Certified Registered | Medical Center Blvd, Winston Salem, NC 27103 | 2020-09-09 |
| 1376154591 | Lori Sansone Flores | Nurse Practitioner | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2020-08-11 |
| 1821609330 | Hannah Carey Walker | Physician Assistant | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2020-08-10 |
| 1447876883 | Raveena Mahesh Chhabria | Student in an Organized Health Care Education/Training Program | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2020-06-22 |
| 1780205930 | Jason Chin | Student in an Organized Health Care Education/Training Program | Medical Center Blvd, Winston Salem, NC 27157-1087 | 2020-04-29 |
| 1972122885 | Bryanna Dean Vesely | Student in an Organized Health Care Education/Training Program | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2020-04-10 |
| 1679102909 | Ameen Barghi | Student in an Organized Health Care Education/Training Program | Medical Center Blvd, Winston Salem, NC 27157-2803 | 2020-04-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255960241 | Alexandra Marie Balmaceda | Student in an Organized Health Care Education/Training Program | Wake Forest Baptist Medical Center Pathology Dept, #1 Medical Center Blvd., Winston-salem, NC 27157 | 2020-04-02 |
| 1164916680 | Jorie Elizabeth Gatts | Student in an Organized Health Care Education/Training Program | Wake Forest Baptist Medical Department of Pediatrics, Winston Salem, NC 27157 | 2018-06-18 |
| 1932606555 | Alexi Rae Ellington Webb | Student in an Organized Health Care Education/Training Program | Wake Forest School of Medicine, Dept of Psychiatry, Medical Center Blvd, Winston Salem, NC 27157 | 2018-04-10 |
| 1851896674 | Wasim Muhammad | Student in an Organized Health Care Education/Training Program | Wake Forest School of Medicine Dept. of Psychiatry, Medical Center Blvd, Winston Salem, NC 27157 | 2018-03-25 |
| 1336643535 | Phillip Martin Kostelic | Student in an Organized Health Care Education/Training Program | Anesthesiology - Wake Forest Baptist Medical Center, 1 Medical Center Blvd, Winston-salem, NC 27157 | 2018-03-21 |
| 1831693324 | Aleah Bond | Student in an Organized Health Care Education/Training Program | Anesthesiology Wake Forest Baptist Medical Center, Medical Center Boulevard, Winston-salem, NC 27157 | 2018-03-20 |
| 1134644859 | Ilan Binyamin Klein | Urology | Wake Forest Baptist Health, Department of Urology, Medical Center Boulevard, Winston-salem, NC 27157 | 2017-08-03 |
| 1023467529 | Edward John Doyle IIi | Student in an Organized Health Care Education/Training Program | Wake Forest School of Medicine Dept. of Otolaryngology, Watlington Hall 4th Fl. Medical Center Boulevard, Winston-salem, NC 27157 | 2016-06-07 |
| 1477917888 | Jordan Mae Burner | Student in an Organized Health Care Education/Training Program | Graduate Medical Education Office, Wake Forest Baptist Medical Center, Medical Center Blvd, Winston-salem, NC 27157 | 2016-04-12 |
| 1174900476 | Kate Elise Winterbottom | Speech-Language Pathologist | 4 Janeway Medical Center Blvd, Hearing and Speech, Winston Salem, NC 27157 | 2015-05-06 |
| Find all providers in zip 27157 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346736667 | Grace Auton | Emergency Medicine | 1 Medical Center Blvd, Winston Salem, NC 27157-0001 | 2018-07-10 |
| 1811971211 | Roy Lee Alson | Emergency Medicine | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2005-11-30 |
| 1457335853 | Mitchell Chris Sokolosky | Emergency Medicine | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2005-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487142105 | Sidney B Mccall | Emergency Medicine | 817 N Spence Ave, Goldsboro, NC 27534-4267 | 2018-04-27 |
| 1538664099 | Unc Rockingham Health Care, Inc. | Emergency Medicine | 6701 Nc Highway 135, Mayodan, NC 27027-8487 | 2018-03-27 |
| 1871095356 | Sunny Point Fire & Rescue | Emergency Medicine | 6280 Sunny Point Rd Bldg 44, Southport, NC 28461 | 2018-03-01 |
| 1073916003 | Christopher Leber | Emergency Medicine | 800 Holly St, Aberdeen, NC 28315-3102 | 2014-10-05 |
| 1194153569 | Morehead Memorial Hospital | Emergency Medicine | 6701b Nc Hwy 135, Mayodan, NC 27027-8487 | 2013-10-23 |
| 1376980417 | Beatty Medical Consulting, PC | Emergency Medicine | 9507 Brandemere Ct, Charlotte, NC 28210-1027 | 2013-05-30 |
| 1689841876 | Pablo Oscar Medina Jr. | Emergency Medicine | 2684 Woodruff St, Fort Bragg, NC 28310-0001 | 2008-05-15 |
| 1598703290 | Town of Morehead City | Emergency Medicine | 4034 Arendell St, Morehead City, NC 28557-2925 | 2006-06-03 |
| 1679524193 | Gwendolyn Ruth Whitley | Emergency Medicine | 257 Branchwood Cir Ne, Concord, NC 28025-3103 | 2006-05-12 |
| 1801844436 | Piedmont Urgent Care of N.c | Emergency Medicine | 2972 N Center St, Hickory, NC 28601-1159 | 2006-05-05 |
| Find all providers with the same taxonomy | ||||
| City | WINSTON SALEM |
| Zip Code | 27157 |
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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.