DR. THOMAS B WIGGINS (NPI# 1790741007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790741007 |
| Entity Type | Individual |
| Full Name | DR. THOMAS B WIGGINS |
| Credential | MD |
| Practice Address |
3155 Maplewood Ave Winston-salem NC 27103 |
| Mailing Address |
3010 Trenwest Dr Winston Salem NC 27103-3208 |
| Practice Telephone | 3367944372 |
| Practice Fax Number | 3366592379 |
| Mailing Telephone | 3369705000 |
| Mailing Fax Number | 3369705298 |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2016-09-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085N0700X |
Radiology Specialization: Neuroradiology |
29054 | NC | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
29054 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8987361 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528104734 | Thomas H Wiggins | Dentist | 203 S Pearman Ave, Cleveland, MS 38732-3247 | 2007-01-29 |
| 1356413405 | Thomas T Wiggins | Family Medicine | 1397 S Loop Rd, Pahrump, NV 89048 | 2006-11-14 |
| 1184647034 | Thomas Bryan Wiggins Jr. | Physician Assistant | 2852 S Carriage Lane, Valleywide Surgical Services, Mesa, AZ 85202 | 2006-07-25 |
| 1528004199 | Thomas M. Wiggins | Anesthesiology | 2300 Wankel Way, Oxnard, CA 93031-6225 | 2006-06-21 |
| Street Address |
3155 MAPLEWOOD AVE |
| City | WINSTON-SALEM |
| State | NC |
| Zip Code | 27103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043242019 | Thomas Holmes Hunt | Radiology | 3155 Maplewood Ave, Winston-salem, NC 27103 | 2006-07-07 |
| 1902837404 | Forsyth Radilogical Associates | Radiology | 3155 Maplewood Ave, Winston-salem, NC 27103-3903 | 2006-07-05 |
| 1376573816 | Andrew Mclean Dale | Radiology | 3155 Maplewood Ave, Winston-salem, NC 27103 | 2006-07-03 |
| 1275579229 | Susan Marra | Physician Assistant | 3155 Maplewood Ave, Winston-salem, NC 27103 | 2006-06-20 |
| 1780626283 | Forsyth Radiological Associates | Radiology | 3155 Maplewood Ave, Winston-salem, NC 27103-3903 | 2006-06-11 |
| 1861448698 | Arnold S Koriakin | Radiology | 3155 Maplewood Ave, Winston-salem, NC 27103 | 2006-05-25 |
| 1326099953 | Katherine Medford | Physician Assistant | 3155 Maplewood Ave, Winston-salem, NC 27103 | 2006-05-16 |
| 1992768535 | Sam Thomas Auringer | Radiology | 3155 Maplewood Ave, Winston-salem, NC 27103-3903 | 2006-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124648126 | Kelly Anne Wales | Pharmacist | 3917-a Westpoint Boulevard, Winston-salem, NC 27103 | 2020-04-20 |
| 1386281533 | Elena Mcginty | Nurse Practitioner | 1225 Creekshire Way, Suite 270, Winston Salem, NC 27103 | 2019-12-06 |
| 1992359442 | Madeline Pryor | Pharmacist | 255 Charlois Drive, Winston Salem, NC 27103 | 2019-08-01 |
| 1215599584 | Palmetto Oxygen LLC | Durable Medical Equipment & Medical Supplies | 1100 S Stratford Road, Building B, Suite 420, Winston Salem, NC 27103 | 2019-07-07 |
| 1548734718 | Trivy Johnson | Specialist | 1384-b Westgate Center Dr., Winston Salem, NC 27103 | 2019-01-21 |
| 1447745047 | Novant Health Rehabilitation Hospital of Winston-salem, LLC | Rehabilitation Hospital | 2475 Hillcrest Center Circle, Winston Salem, NC 27103 | 2018-06-26 |
| 1346740206 | Joseph Miller | Physical Therapist | 1605 Westbrook Dr, Suite 103, Winston-salem, NC 27103 | 2018-02-17 |
| 1548779101 | Kristin Blow | Counselor | 3000 Bethesda Pl Ste 202, Winston Salem, NC 27103 | 2017-09-27 |
| 1891213443 | Alisha Dawn Wilson | Occupational Therapy Assistant | 2101 Homestead Hills Drive, Winston Salem, NC 27103 | 2017-09-05 |
| 1588186969 | Brandy Wilson | Social Worker | 153 Cameron Way Circle, Winston Salem, NC 27103 | 2017-07-07 |
| Find all providers in zip 27103 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346898632 | Mohamed Khalif Osman Warfa | Radiology | Diagnostic Radiology, Wake Forest School of Medicine, 1 Medical Boulevard, Winston-salem, NC 27157-0001 | 2019-08-29 |
| 1295997682 | Leslie Fort | Radiology | 3010 Trenwest Drive, Winston-salem, NC 27103-3208 | 2008-06-27 |
| 1851682165 | Megan Nancy Lee | Radiology | Medical Center Boulevard, North Carolina Baptist Hospital, Winston-salem, NC 27157 | 2011-04-21 |
| 1316189608 | Gavin Blair Gore | Radiology | 1 Medical Center Boulevard, Winston-salem, NC 27103-2705 | 2009-04-01 |
| 1629148416 | David Dixon Childs | Radiology | Medical Center Blvd, Winston-salem, NC 27157-0001 | 2006-11-08 |
| 1316951874 | Eric Stuart Scharling | Radiology | 3155 Maplewood Avenue, Winston-salem, NC 27103 | 2006-07-28 |
| 1386679546 | Dennis Mark Clemens | Radiology | 3155 Maplewood Avenue, Winston-salem, NC 27103 | 2006-07-12 |
| 1043242019 | Thomas Holmes Hunt | Radiology | 3155 Maplewood Ave, Winston-salem, NC 27103 | 2006-07-07 |
| 1902837404 | Forsyth Radilogical Associates | Radiology | 3155 Maplewood Ave, Winston-salem, NC 27103-3903 | 2006-07-05 |
| 1780615187 | Liston Orr | Radiology | 3155 Maplewood Avenue, Winston-salem, NC 27103 | 2006-07-05 |
| Find all providers in WINSTON-SALEM | ||||
| City | WINSTON-SALEM |
| Zip Code | 27103 |
Please comment or provide details below to improve the information on DR. THOMAS B WIGGINS.
| 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.