WILKES PHYSICIAN NETWORK, INC. (NPI# 1659602449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659602449 |
| Entity Type | Organization |
| Organization Name | WILKES PHYSICIAN NETWORK, INC. |
| Other Organization Name | WILKES REGIONAL GASTROENTEROLOGY |
| Practice Address |
1404 Willow Ln Wilkes Regional Gastroenterology North Wilkesboro NC 28659-3584 |
| Practice Telephone | 3366513603 |
| Practice Fax Number | 3366513610 |
| Mailing Telephone | 3366513603 |
| Mailing Fax Number | 3366513610 |
| Enumeration Date | 2010-01-19 |
| Last Update Date | 2010-08-23 |
| Authorized Official Name | FRIEDA M LOWDER (SR. VP) |
| Authorized Official Telephone | 7044034146 |
| Is Organization Subpart | Y |
| Parent Organization Name | WILKES PHYSICIAN NETWORK, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | MEDICARE PTAN | 2335816 | 01 |
| NC | 5914561 | 05 |
| Other Name | Type Code |
|---|---|
| Wilkes Regional Gastroenterology | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891183331 | Wilkes Physician Network, Inc. | Internal Medicine | 111 Riddle Road, North Wilkesboro, NC 28659-8890 | 2015-01-07 |
| 1124482146 | Wilkes Physician Network, Inc. | Internal Medicine | 1914 W Park Dr, North Wilkesboro, NC 28659-3563 | 2016-04-06 |
| 1013324375 | Wilkes Physician Network, Inc. | Family Medicine | 171 W Wilkes Medical Center Rd, Ferguson, NC 28624-8925 | 2014-07-18 |
| 1588918338 | Wilkes Physician Network, Inc. | Family Medicine | 1900 W Park Dr, Suite-b, North Wilkesboro, NC 28659-3563 | 2012-11-01 |
| 1346538105 | Wilkes Physician Network, Inc. | Hospitalist | 1370 West D Street, North Wilkesboro, NC 28659-3506 | 2011-07-14 |
| 1750685533 | Wilkes Physician Network, Inc. | Pediatrics | 1915 West Park Dr, Suite 103, North Wilkesboro, NC 28659-3777 | 2011-01-07 |
| 1427362235 | Wilkes Physician Network, Inc. | Family Medicine | 1900 W Park Dr, Urgent Care of Wilkes, North Wilkesboro, NC 28659-3563 | 2010-08-04 |
| 1407177199 | Wilkes Physician Network, Inc. | Family Medicine | 1534 W D St, North Wilkesboro, NC 28659-3528 | 2010-06-16 |
| 1710202429 | Wilkes Physician Network, Inc. | Internal Medicine | 1404 Willow Ln, Greenway Healthcare, North Wilkesboro, NC 28659-3584 | 2010-04-06 |
| 1851628325 | Wilkes Physician Network, Inc. | Obstetrics & Gynecology | 1405 Willow Ln, Northwest Carolina Women's Center, North Wilkesboro, NC 28659-3551 | 2009-11-04 |
| Street Address |
1404 WILLOW LN WILKES REGIONAL GASTROENTEROLOGY |
| City | NORTH WILKESBORO |
| State | NC |
| Zip Code | 28659-3584 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316936156 | Gary Glenn Nichols | Physician Assistant | 1404 Willow Ln, North Wilkesboro, NC 28659-3584 | 2005-10-14 |
| 1710202429 | Wilkes Physician Network, Inc. | Internal Medicine | 1404 Willow Ln, Greenway Healthcare, North Wilkesboro, NC 28659-3584 | 2010-04-06 |
| 1932324985 | Ademola Olubusola Aderoju | Internal Medicine | 1404 Willow Ln, Suite B, North Wilkesboro, NC 28659-3584 | 2007-04-16 |
| 1841387248 | Jose R Carrasquillo | Internal Medicine | 1404 Willow Ln, Suite B, North Wilkesboro, NC 28659-3584 | 2006-10-06 |
| 1598857039 | Michelle Lisa Redman | Internal Medicine | 1404 Willow Ln, Greenway Healthcare, North Wilkesboro, NC 28659-3584 | 2006-09-29 |
| 1508847245 | Michael S Everhart | Physician Assistant | 1404 Willow Ln, Suite B, North Wilkesboro, NC 28659-3584 | 2005-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013579689 | Lisa C Carr | Social Worker | 1400 Willow Ln # C61-2, North Wilkesboro, NC 28659 | 2019-07-03 |
| 1780141507 | Brenda Barber | Counselor | 200 Northview Plaza, North Wilkesboro, NC 28659 | 2019-02-28 |
| 1639696941 | Lifespan Incorporated | Community/Behavioral Health | 2070 River Road, North Wilkesboro, NC 28659 | 2017-08-28 |
| 1184146011 | Daymark Recovery Services Inc | Community/Behavioral Health | 200 C.c. Wright School Road, Classrooms 126, 127, North Wilkesboro, NC 28659 | 2017-07-12 |
| 1033568258 | Rgm Al Holdings, LLC | Assisted Living Facility | 240 Independence Ave, North Wilkesboro, NC 28659 | 2016-06-08 |
| 1376997999 | Hayden Church | Driver | 29 Boone Trail, North Wilkesboro, NC 28659 | 2016-04-20 |
| 1033563192 | Nathan Grant Davis | Emergency Medicine | Wake Forest Baptist Health- Wilkes Medical Center, 1370 W D St, North Wilkesboro, NC 28659 | 2016-04-14 |
| 1720425408 | Lindsay Brooke Spears | Dentist | 1915 West Park Drive Ste 104, Wilkes Public Health Dental West, North Wilkesboro, NC 28659 | 2013-06-04 |
| 1881983419 | Pruitthealth Hospice, Inc. | Hospice Care, Community Based | 902 West D St, Ste B, North Wilkesboro, NC 28659 | 2011-04-05 |
| 1275838096 | Barium Springs Home for Children | Community Based Residential Treatment Facility, Mental Illness | 517 Boston Ave, North Wilkesboro, NC 28659 | 2011-01-26 |
| Find all providers in zip 28659 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912111766 | Wake Forest University Baptist Medical Center Community Physicians | Internal Medicine | 1916 W Park Dr, North Wilkesboro, NC 28659-3563 | 2007-05-10 |
| 1841387248 | Jose R Carrasquillo | Internal Medicine | 1404 Willow Ln, Suite B, North Wilkesboro, NC 28659-3584 | 2006-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346889292 | Park Gastroenterology, Pllc | Internal Medicine | 7560 Carpenter Fire Station Rd Ste 303, Cary, NC 27519-9637 | 2019-12-24 |
| 1528625399 | Rowan Endoscopy Center, Pllc | Internal Medicine | 1809 Brenner Ave, Suite 102, Salisbury, NC 28144-2558 | 2019-05-28 |
| 1073091088 | Gastroenterology Associates of The Piedmont, P.a. | Internal Medicine | 445 Pineview Dr Ste 200b, Kernersville, NC 27284 | 2018-08-01 |
| 1710489273 | Appalachian Regional Medical Associates Inc | Internal Medicine | Appgastro - Asc, 870 State Farm Rd, Ste 102, Boone, NC 28607 | 2018-03-01 |
| 1669971826 | Appalachian Regional Medical Associates Inc | Internal Medicine | 870 State Farm Rd Ste 2, Boone, NC 28607-4861 | 2018-02-02 |
| 1437556594 | Novant Medical Group Inc | Internal Medicine | 13 Medical Campus, Suite 102, Supply, NC 28462-4093 | 2014-12-04 |
| 1275930968 | Digestive Health Specialists, Pa | Internal Medicine | 434 Kirby Rd, Lower Level Suite 6, King, NC 27021-9494 | 2014-11-25 |
| 1326454174 | Daniel Dillon | Internal Medicine | 1045 25th Avenue Dr Nw, Hickory, NC 28601-9077 | 2014-07-01 |
| 1841610300 | Shelly Gurwara | Internal Medicine | Medical Ctr Blvd, Winston Salem, NC 27157-2358 | 2014-04-23 |
| 1518386457 | Silpa Yalamanchili | Internal Medicine | 781 Avent Ferry Rd Ste 204, Holly Springs, NC 27540-7776 | 2014-04-08 |
| Find all providers with the same taxonomy | ||||
| City | NORTH WILKESBORO |
| Zip Code | 28659 |
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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.