WAYNE MEMORIAL HOSPITAL (NPI# 1700054582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700054582 |
| Entity Type | Organization |
| Organization Name | WAYNE MEMORIAL HOSPITAL |
| Practice Address |
2700 Wayne Memorial Dr Goldsboro NC 27534-9494 |
| Practice Telephone | 9197316142 |
| Mailing Telephone | 9197316142 |
| Enumeration Date | 2008-02-14 |
| Last Update Date | 2020-03-24 |
| Authorized Official Name | MR. WILLIAM G THOMA III (SR VICE PRESIDENT FINANCE / CFO) |
| Authorized Official Telephone | 9197316143 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 89014VW | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679500334 | Wayne Memorial Hospital | Medicare Defined Swing Bed Unit | 601 Park Street, Honesdale, PA 18431 | 2006-06-27 |
| 1124026182 | Wayne Memorial Hospital | General Acute Care Hospital | 601 Park St, Honesdale, PA 18431-1445 | 2005-07-13 |
| 1386028207 | Wayne Memorial Hospital | Hospitalist | 601 Park Street, Honesdale, PA 18431-1499 | 2015-07-10 |
| 1649573023 | Wayne Memorial Hospital | General Acute Care Hospital | 601 Park St, Honesdale, PA 18431-1445 | 2010-12-07 |
| 1114195617 | Wayne Memorial Hospital | General Acute Care Hospital | 2700 Wayne Memorial Dr., Goldsboro, NC 27534-9494 | 2008-02-19 |
| 1851591424 | Wayne Memorial Hospital | General Acute Care Hospital | 601 Park St, Honesdale, PA 18431-1445 | 2007-07-23 |
| 1023218690 | Wayne Memorial Hospital | Clinic/Center | 601 Park St, Honesdale, PA 18431-1445 | 2007-07-23 |
| 1083749097 | Wayne Memorial Hospital | Pharmacy | 2700 Wayne Memorial Dr, Goldsboro, NC 27534-9494 | 2007-02-22 |
| 1447364385 | Wayne Memorial Hospital | Rehabilitation Unit | 601 Park St, Honesdale, PA 18431-1445 | 2006-08-18 |
| 1295750875 | Wayne Memorial Hospital | Home Health | 601 Park St, Honesdale, PA 18431-1445 | 2006-07-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | WAYNE MEMORIAL HOSPITAL | 601 Park St, Honesdale, PA 18431-1498 |
| North Carolina Corporations | Wayne Memorial Hospital Foundation | 2700 Wayne Memorial Dr, Goldsboro, NC 27534-9494 |
| North Carolina Corporations | Wayne Memorial Hospital Inc. | 2700 Wayne Memorial Dr, Goldsboro, NC 27530 |
| Street Address |
2700 WAYNE MEMORIAL DR |
| City | GOLDSBORO |
| State | NC |
| Zip Code | 27534-9494 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245235951 | Daniel Lowell Drotts | Emergency Medicine | 2700 Wayne Memorial Dr, Emergency Dept, Goldsboro, NC 27534-9494 | 2005-06-17 |
| 1124632146 | Brandon Grant Godwin | Nurse Practitioner | 2700 Wayne Memorial Dr, Goldsboro, NC 27534-9494 | 2020-09-08 |
| 1154952182 | Hilda Atik | Nurse Practitioner | 2700 Wayne Memorial Dr, Goldsboro, NC 27534-9494 | 2020-01-29 |
| 1508417809 | Kaitlyn Jessica Shotwell | Physician Assistant | 2700 Wayne Memorial Dr, Goldsboro, NC 27534-9494 | 2019-09-27 |
| 1093272908 | Tracie Jones Riley | Nurse Practitioner | 2700 Wayne Memorial Dr, Goldsboro, NC 27534-9494 | 2019-02-27 |
| 1376026518 | Matthew Price Mclaughlin | Physician Assistant | 2700 Wayne Memorial Dr, Goldsboro, NC 27534-9494 | 2018-09-13 |
| 1023590973 | Summer Graham Carr | Nurse Practitioner | 2700 Wayne Memorial Dr, Goldsboro, NC 27534-9494 | 2018-09-06 |
| 1871073957 | Carina S Norris | Occupational Therapist | 2700 Wayne Memorial Dr, Goldsboro, NC 27534-9494 | 2018-08-17 |
| 1871073130 | Katherine Carroll | Speech-Language Pathologist | 2700 Wayne Memorial Dr, Goldsboro, NC 27534-9494 | 2018-08-16 |
| 1003396383 | Rochelle Masudal | Occupational Therapist | 2700 Wayne Memorial Dr, Goldsboro, NC 27534-9494 | 2018-08-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457875767 | Trent Jonathan Forshey | Physical Therapist | 2126 Wayne Memorial Dr, Goldsboro, NC 27534 | 2017-07-28 |
| 1336685551 | Wayne Al Holdings, LLC | Assisted Living Facility | 901 West New Hope Rd, Goldsboro, NC 27534 | 2017-01-11 |
| 1952845471 | Latoya Faulk | Social Worker | 121 Carolina Forest Drive, Goldsboro, NC 27534 | 2016-12-19 |
| 1528415841 | Kelby Joseph Sage Durnin | Military Health Care Provider | 1020 Jabara Avenue, Seymour Johnson Afb, NC 27534 | 2016-05-17 |
| 1528490604 | Eric Christian Bourgeois | Physical Therapist | 1101a Gracie Pl, Goldsboro, NC 27534 | 2013-07-31 |
| 1831439165 | Erica Nicole Davis | Optometrist | 20/20 Vision Center 625 North Berkeley Blvd, Suite D, Goldsboro, NC 27534 | 2013-02-23 |
| 1891039236 | Betty Webb Zimmerman | Nurse Practitioner | 204 Cox Blvd, Goldsboro, NC 27534 | 2012-11-26 |
| 1144595265 | Life Recovery Psychological Services | Counselor | 1202-c Wayne Memorial Dr, Goldsboro, NC 27534 | 2012-03-22 |
| 1558596536 | Taylor Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 802 Taylor St, Goldsboro, NC 27534 | 2009-05-20 |
| 1780895136 | Sherrie Fennell Edwards | Dietitian, Registered | 1500 Lanely Ave., Seymour Johnson Afb, Golsboro, NC 27534 | 2007-05-25 |
| Find all providers in zip 27534 | ||||
| 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 |
|---|---|---|---|---|
| 1114195617 | Wayne Memorial Hospital | General Acute Care Hospital | 2700 Wayne Memorial Dr., Goldsboro, NC 27534-9494 | 2008-02-19 |
| 1750353462 | Wayne Memorial Hospital Inc | General Acute Care Hospital | 2700 Wayne Memorial Dr, Goldsboro, NC 27534-9459 | 2006-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861939621 | Carolinas Healthcare System | General Acute Care Hospital | 3329 Weston St, Charlotte, NC 28209 | 2017-01-31 |
| 1760925143 | Duke University Medical Center | General Acute Care Hospital | 2543 Meridian Pkwy Apt 2106, Durham, NC 27713-2496 | 2016-12-02 |
| 1538610019 | In-house Doc, Inc. | General Acute Care Hospital | 1820 Grace St, Winston Salem, NC 27103-2722 | 2016-10-19 |
| 1912373804 | Baptist Medical Center | General Acute Care Hospital | 149 N Hazelwood Dr, Mocksville, NC 27028-7164 | 2015-08-14 |
| 1881079929 | Legacy Healthcare Services, Inc | General Acute Care Hospital | 4263 Bill Dale Rd, Morganton, NC 28655 | 2015-07-29 |
| 1689060303 | Novant Health Rehabilitation Center Matthews | General Acute Care Hospital | 1450 Matthews Township Pkwy Ste 150, Matthews, NC 28105-2388 | 2015-04-09 |
| 1124413513 | Baylor College of Medicine | General Acute Care Hospital | 537 Montclaire Dr, Mount Airy, NC 27030-9106 | 2015-04-01 |
| 1437540358 | Aimee L. Swain | General Acute Care Hospital | 4726 Rollins Pointe Dr, Monroe, NC 28110-7117 | 2015-02-13 |
| 1962893149 | Michelle Porter | General Acute Care Hospital | 402 Stagecoach Dr, Jacksonville, NC 28546-8663 | 2015-02-10 |
| 1487052114 | Hiroshi Okuda | General Acute Care Hospital | 103015 Dumc, Durham, NC 27710-0001 | 2014-12-11 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on WAYNE MEMORIAL HOSPITAL.
| 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.