WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER (NPI# 1669784732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669784732 |
| Entity Type | Organization |
| Organization Name | WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER |
| Practice Address |
Medical Center Blvd Winston Salem NC 27157-0001 |
| Practice Telephone | 3367135256 |
| Enumeration Date | 2010-07-06 |
| Last Update Date | 2010-07-06 |
| Authorized Official Name | DR. KIMBERLEY J HANSEN (CHAIR, VASCULAR SURGERY) |
| Authorized Official Telephone | 3367135256 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 116463 | NC | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639334311 | Wake Forest University Baptist Medical Center | General Acute Care Hospital | Wfu Department of Obstetrics and Gynecology, Medical Center Boulevard, Winston Salem, NC 27157-0001 | 2008-07-22 |
| 1770628208 | Wake Forest University Baptist Medical Center | Family Medicine | 1534 West D St, North Wilkesboro, NC 28659-3528 | 2007-02-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporation | Wake Forest University Baptist Medical Center | Department of Legal Affairs, Medical Center Blvd , Winston Salem, NC 27157 |
| Virginia Business Entity | Wake Forest University Baptist Medical Center | DEPARTMENT OF LEGAL AFFAIRS MEDICAL CENTER BLVD, WINSTON-SALEM, NC 27157 |
| Street Address |
MEDICAL CENTER BLVD |
| 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 | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538610019 | In-house Doc, Inc. | General Acute Care Hospital | 1820 Grace St, Winston Salem, NC 27103-2722 | 2016-10-19 |
| 1649412826 | Wake Forest Univ Baptist Medical Center | General Acute Care Hospital | Medical Center Blvd Wake Forest Univ School, Winston Salem, NC 27157-0001 | 2009-04-02 |
| 1639334311 | Wake Forest University Baptist Medical Center | General Acute Care Hospital | Wfu Department of Obstetrics and Gynecology, Medical Center Boulevard, Winston Salem, NC 27157-0001 | 2008-07-22 |
| 1740477256 | Wake Forest University, Baptist Medical Center | General Acute Care Hospital | Medical Center Boulevard Wake Forest University, Hematology and Oncology, Winston Salem, NC 27157-0001 | 2007-09-28 |
| 1033316773 | Jason Halvorson | General Acute Care Hospital | Dept of Orthopaedic Surgery Medical Center Blvd, Wake Forest Baptist Hospital, Winston Salem, NC 27157-0001 | 2007-06-27 |
| 1215495148 | Forsyth Memorial Hospital, Inc. | General Acute Care Hospital | 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 | 2019-03-11 |
| 1962879494 | North Carolina Baptist Hospital | General Acute Care Hospital | 1 Medical Center Blvd, Winston Salem, NC 27157-0001 | 2015-09-01 |
| 1598169575 | Forsyth Memorial Hospital, Inc. | General Acute Care Hospital | 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 | 2014-10-20 |
| 1447694120 | Wake Forest Baptist Medical Center | General Acute Care Hospital | 1 Medical Center Blvd, Winston Salem, NC 27157-0001 | 2013-04-24 |
| 1073863197 | Department of Veterans Affairs | General Acute Care Hospital | 190 Kimel Park Dr, Winston Salem, NC 27103-6946 | 2012-09-17 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27157 |
Please comment or provide details below to improve the information on WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER.
| 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.