MYKAH PAYNE WIKE (NPI# 1821538893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821538893 |
| Entity Type | Individual |
| Full Name | MYKAH PAYNE WIKE |
| Credential | N.P. |
| Practice Address |
321 Mulberry St Sw Lenoir NC 28645-5720 |
| Mailing Address |
Medical Center Blvd Winston Salem NC 27157-0001 |
| Practice Telephone | 8287575504 |
| Mailing Telephone | 3367161210 |
| Enumeration Date | 2017-02-24 |
| Last Update Date | 2020-10-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
5009319 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| Medical Center Blvd, Winston Salem, NC 271570001 | 3367161210 |
| Street Address |
321 MULBERRY ST SW |
| City | LENOIR |
| State | NC |
| Zip Code | 28645-5720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184620593 | John Albert Dew Jr. | Internal Medicine | 321 Mulberry St Sw, Caldwell Acute Care Specialists, Lenoir, NC 28645-5720 | 2005-06-22 |
| 1538783915 | Caldwell Memorial Hospital, Inc. | Physician Assistant | 321 Mulberry St Sw, Lenoir, NC 28645-5720 | 2020-06-02 |
| 1528550878 | George Awad | Pharmacist | 321 Mulberry St Sw, Lenoir, NC 28645-5720 | 2018-06-02 |
| 1427546860 | Jeffrey Emanuel Mozgala | Nurse Practitioner | 321 Mulberry St Sw, Lenoir, NC 28645 | 2018-05-01 |
| 1780192500 | Mark Dellinger | Nurse Practitioner | 321 Mulberry St Sw, Lenoir, NC 28645-5720 | 2018-01-15 |
| 1437678836 | Kindra Littman | Nurse Practitioner | 321 Mulberry St Sw, Lenoir, NC 28645-5720 | 2017-09-18 |
| 1053833277 | Geoffrey Wayne Wright | Physician Assistant | 321 Mulberry St Sw, Lenoir, NC 28645-5720 | 2017-07-10 |
| 1578011169 | Janet Marie Norwood | Physical Therapist | 321 Mulberry St Sw, Lenoir, NC 28645-5720 | 2016-09-13 |
| 1982017661 | Cory Wiles | Physician Assistant | 321 Mulberry St Sw, Lenoir, NC 28645-5720 | 2014-06-10 |
| 1710320122 | Ronald Andrew Noe | Internal Medicine | 321 Mulberry St Sw, Lenoir, NC 28645-5720 | 2013-04-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477174597 | Healthstat Onsite Clinic Mccreary Modern Plant 6 | Preventive Medicine | 2961 Rocky Road, Lenoir, NC 28645 | 2020-04-29 |
| 1912485780 | Brandi Fitzgerald Newell | Nurse Practitioner | 902 Kirkwood Street Nw, Lenoir, NC 28645 | 2018-08-02 |
| 1568911345 | Kimberly Fletcher | Physical Therapist | 1031 Morganton Blvd. Sw, Lenoir, NC 28645 | 2016-09-22 |
| 1093115743 | Dana May Yang | Pharmacist | 875 Blowing Road Blvd, Lenior, NC 28645 | 2014-08-31 |
| 1659780542 | Brinkley & Associates of Lenoir | Dentist | 230 Morganton Boulevard Sw, Lenoir, NC 28645 | 2014-08-05 |
| 1194148858 | Cheryl Ann Simpson | Contractor | 7951 Rocky Knob Rd, Lenoir, NC 28645 | 2014-01-30 |
| 1013266048 | Mccreary Cancer Center | Clinic/Center | 212 Mulberry Street Sw, Lenoir, NC 28645 | 2012-09-06 |
| 1356651145 | Anthony Kwasi Essien | Pharmacist | 102 Harper Ave., Lenoir, NC 28645 | 2010-10-14 |
| 1033344866 | Thomas J Young | Surgery | 401 Mulberry Street, Sw, Suite 202, Lenoir, NC 28645 | 2009-05-22 |
| 1821238155 | Mark C Kammer | Physical Therapist | 1041 Morganton Blvd, Ste 200, Lenoir, NC 28645 | 2009-02-26 |
| Find all providers in zip 28645 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427546860 | Jeffrey Emanuel Mozgala | Nurse Practitioner | 321 Mulberry St Sw, Lenoir, NC 28645 | 2018-05-01 |
| 1942713300 | Amber Nicole Fortenberry | Nurse Practitioner | 902 Kirkwood Ave Nw, Lenoir, NC 28645 | 2017-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316544927 | Christine Marie Davis | Nurse Practitioner | 1010 Kenilworth Ave Apt 426, Charlotte, NC 28204-3475 | 2020-10-06 |
| 1447867700 | Ryan Richard Plesher | Nurse Practitioner | 10 Duke Medicine Cir Fl 8, Durham, NC 27710-1000 | 2020-09-29 |
| 1538774922 | Kathryn Rose Keurian | Nurse Practitioner | 10 Duke Medicine Cir # 3677, Durham, NC 27710-1000 | 2020-09-11 |
| 1669087243 | Linaleea Lopez | Nurse Practitioner | 108 Long Needle Dr, Clayton, NC 27520-8536 | 2020-09-10 |
| 1932713112 | Jessica H Resnyk | Nurse Practitioner | 2004 Cindy Ln, Clayton, NC 27520-9038 | 2020-09-03 |
| 1831702612 | Christopher Ireland | Nurse Practitioner | 4545 Long Cove Dr, Denver, NC 28037-5437 | 2020-08-31 |
| 1740893437 | Carlitha Saunders | Nurse Practitioner | 200 Medical Park Dr Ste 230, Concord, NC 28025-0933 | 2020-08-24 |
| 1508484031 | Stacey C Bohm | Nurse Practitioner | 15720 Brixham Hill Ave Ste 130, Charlotte, NC 28277-4784 | 2020-07-10 |
| 1750903969 | Lauren Brooke Kirby | Nurse Practitioner | 620 Moye Blvd, Greenville, NC 27834-0001 | 2020-05-11 |
| 1275154999 | Meghan Thompson Twisdale | Nurse Practitioner | 10 Duke Medicine Circle Duke Surgical Care Unit, Durham, NC 27710-0001 | 2020-05-05 |
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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.