RYAN T MOTT (NPI# 1790704351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790704351 |
| Entity Type | Individual |
| Full Name | RYAN T MOTT |
| Credential | MD |
| Practice Address |
Medical Center Blvd Winston Salem NC 27157-0001 |
| Mailing Address |
Po Box 344 Winston Salem NC 27102-0344 |
| Practice Telephone | 3367162255 |
| Practice Fax Number | 3367167595 |
| Mailing Telephone | 3367162255 |
| Mailing Fax Number | 3367167595 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2010-08-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ZN0500X |
Pathology Specialization: Neuropathology |
2006-00688 | NC | Allopathic & Osteopathic Physicians |
| Y | 207ZP0101X |
Pathology Specialization: Anatomic Pathology |
2006-00688 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 3810010736 | 05 | |
| NC | PARTNERS | 808488 | 01 |
| VA | 10387655 | 05 | |
| NC | 5904512 | 05 | |
| NC | BCBS | 142RT | 01 |
| NC | MEDCOST | 190060 | 01 |
| NC | AETNA | 7306888 | 01 |
| SC | Q0068P | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023520574 | Ryan Stirling Mott | Dentist | 2420 Nw Professional Dr Ste 150, Corvallis, OR 97330-3977 | 2017-10-24 |
| 1134651862 | Ryan Mott | Counselor | 6013 S Redwood Rd, Taylorsville, UT 84123-5220 | 2017-03-31 |
| 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 | 207ZP0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. [7/1/2007: definition added, source added, 7/1/2009: defintion reformatted; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology (note: this taxonomy code identifies the "anatomic pathology only" route). To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609133313 | Alexei Vladimirovitch Mikhailov | Pathology | Medical Center Blvd Department of Pathology, Winston Salem, NC 27157-0001 | 2012-04-19 |
| 1285053959 | William Harrison | Pathology | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2014-04-10 |
| 1083815401 | Kimberly Ann Stogner-underwood | Pathology | Medical Center Blvd, Department of Pathology, Winston Salem, NC 27157-0001 | 2007-05-31 |
| 1881678258 | Samy Samuel Iskandar | Pathology | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2005-11-30 |
| 1861476236 | John William Hartz | Pathology | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2005-11-30 |
| 1447232400 | Mark Cauthen Willingham | Pathology | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2005-11-16 |
| 1518955319 | Barry R Deyoung | Pathology | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2005-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356835789 | Peters Pathology, LLC | Pathology | 302 Lindsay St Fl 2, High Point, NC 27262-4961 | 2018-06-19 |
| 1497118608 | David A Eberhard | Pathology | 105 E Poplar Ave, Carrboro, NC 27510-1709 | 2016-04-04 |
| 1982920336 | Lisa Jane Hannah Cichon | Pathology | 7250 Nc Highway 751 Apt 1109, Durham, NC 27707-5720 | 2010-04-09 |
| 1699876102 | David Noble Howell | Pathology | 3712 Pathology, Duke University Medical Center, Durham, NC 27710-0001 | 2006-09-26 |
| 1801849351 | Tara C Rubinas | Pathology | 101manning Dr, Chapel Hill, NC 27599-0001 | 2006-05-18 |
| 1952379083 | Susan M Ferrell | Pathology | 272 Newstock Road, Asheville, NC 28804 | 2006-03-14 |
| 1639155971 | Dell Andrew Dembosky | Pathology | 30 Page St., Pinehurst, NC 28374-8449 | 2005-12-19 |
| 1497739866 | Venkata Ramana Challa | Pathology | 507 N Lindsay St, High Point, NC 27262-4303 | 2005-11-30 |
| 1275096497 | Madiha Emran Soofi | Pathology | 600 Moye Blvd, Greenville, NC 27834-4300 | 2019-04-14 |
| 1093112385 | Adil Gasim | Pathology | 1000 Blythe Blvd, Charlotte, NC 28203-5812 | 2014-12-02 |
| 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.