DR. CAROLE MAXWELL STUART (NPI# 1720120470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720120470 |
Entity Type | Individual |
Full Name | DR. CAROLE MAXWELL STUART |
Credential | M.D. |
Practice Address |
Lower Level Reynolds Gym-wingate Rd. Wingate Rd. Winston-salem NC 27109 |
Mailing Address |
3635 Stimpson Dr Pfafftown NC 27040-8610 |
Practice Telephone | 3367585218 |
Practice Fax Number | 3367586054 |
Mailing Telephone | 3369246131 |
Mailing Fax Number | 3369221216 |
Enumeration Date | 2007-02-12 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
17287 | NC | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | DEA NUMBER | AS4545046 | 01 |
Street Address |
LOWER LEVEL REYNOLDS GYM-WINGATE RD. WINGATE RD. |
City | WINSTON-SALEM |
State | NC |
Zip Code | 27109 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598394710 | Katherine Nicole Best | Dietitian, Registered | 1834 Wake Forest Road, Sutton Sports Performance Center, Room 218, Winston Salem, NC 27109 | 2020-04-08 |
1831317528 | Teresa B. Jackson | Pharmacist | Lower Level Reynolds Gym Wingate Road, Lower Level Reynolds Gym Wingate Road, Winston-salem, NC 27109 | 2007-04-20 |
1548302292 | Clarice Roth | Nurse Practitioner | Lower Level Reynolds Gym-wingate Road, Wingate Road, Winston-salem, NC 27109 | 2007-02-12 |
1285717694 | Wake Forest University | Pharmacy | Lwr Level Reynolds Gym Wingate Rd, Winston-salem, NC 27109 | 2006-10-23 |
1982830907 | Steven Miller Heffner | Family Medicine | 1834 Wake Forest Dr, Winston Salem, NC 27109-6000 | 2009-06-04 |
1114986403 | Linday S Peral | Family Medicine | 1834 Wake Forest Rd, George C Mackie Health Center, Winston Salem, NC 27109-6000 | 2006-03-23 |
1629685300 | Shalyn Patel | Physician Assistant | 1834 Wake Forest Rd, Winston Salem, NC 27109-6000 | 2020-09-28 |
1912429481 | Holly Ann Heath | Counselor | 1834 Wake Forest Rd, Winston Salem, NC 27109-6000 | 2017-07-17 |
1598216749 | Scott Girard Spernoga | Specialist/Technologist | 1834 Wake Forest Rd, Winston Salem, NC 27109-6000 | 2016-10-21 |
1629423181 | Beverly Nesbit | Dietitian, Registered | 1834 Wake Forest Rd, 1158 Worrell Professional Center, Winston Salem, NC 27109-6000 | 2016-05-03 |
Find all providers in zip 27109 |
Taxonomy Code | 207QA0505X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Adult Medicine |
Definition to come. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538771795 | Michelle Muhammad | Family Medicine | 1589 Skeet Club Rd Ste 102-218, High Point, NC 27265-8817 | 2020-08-19 |
1578171724 | Immuno Professionals Pllc | Family Medicine | 9300 Harris Corners Pkwy Ste 160, Charlotte, NC 28269-3791 | 2020-07-14 |
1225549991 | Tawfiq Ansari | Family Medicine | 5 Scarlet Oak Ct, Durham, NC 27712-8971 | 2017-10-20 |
1215457924 | J Arthur Dosher Memorial Hospital | Family Medicine | 906 N Howe Street, Southport, NC 28461-2846 | 2017-06-23 |
1215342779 | Alexandria Kadolph | Family Medicine | Moses Cone Hospital, 1121 N Church St, Greensboro, NC 27405 | 2014-06-24 |
1669715868 | David A Crowe | Family Medicine | West Wilkes Family Medicine, 171 West Wilkes Medical Center Blvd., Ferguson, NC 28624-8925 | 2013-04-05 |
1417261736 | Talton Physician Services Pllc | Family Medicine | 201 Crest Dr, Mount Olive, NC 28365-2619 | 2010-07-28 |
1366686271 | Arturo De Jesus De Leon | Family Medicine | 2903 Adrian Ct, Raleigh, NC 27604-5811 | 2009-04-22 |
1922132620 | Larry S Kilby Md Pa | Family Medicine | 1208 E St, N Wilkesboro, NC 28659-4018 | 2007-03-15 |
1932247079 | R. Bruce Kelly | Family Medicine | 932 Old Hwy 70 West, Black Mountain, NC 28711 | 2007-02-01 |
Find all providers with the same taxonomy |
City | WINSTON-SALEM |
Zip Code | 27109 |
Please comment or provide details below to improve the information on DR. CAROLE MAXWELL STUART.
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.