WILKES PHYSICIAN NETWORK, INC. (NPI# 1851628325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851628325 |
| Entity Type | Organization |
| Organization Name | WILKES PHYSICIAN NETWORK, INC. |
| Other Organization Name | NORTHWEST CAROLINA WOMEN'S CENTER |
| Practice Address |
1405 Willow Ln Northwest Carolina Women's Center North Wilkesboro NC 28659-3551 |
| Practice Telephone | 3366672232 |
| Practice Fax Number | 3366672235 |
| Mailing Telephone | 3366672232 |
| Mailing Fax Number | 3366672235 |
| Enumeration Date | 2009-11-04 |
| Last Update Date | 2013-10-10 |
| Authorized Official Name | FRIEDA M LOWDER (SR. VICE PRESIDENT) |
| Authorized Official Telephone | 7044034146 |
| Is Organization Subpart | Y |
| Parent Organization Name | WILKES PHYSICIAN NETWORK, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5913875 | 05 | |
| NC | MEDICARE PTAN, GROUP | 2335816 | 01 |
| Other Name | Type Code |
|---|---|
| Northwest Carolina Women's Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891183331 | Wilkes Physician Network, Inc. | Internal Medicine | 111 Riddle Road, North Wilkesboro, NC 28659-8890 | 2015-01-07 |
| 1124482146 | Wilkes Physician Network, Inc. | Internal Medicine | 1914 W Park Dr, North Wilkesboro, NC 28659-3563 | 2016-04-06 |
| 1013324375 | Wilkes Physician Network, Inc. | Family Medicine | 171 W Wilkes Medical Center Rd, Ferguson, NC 28624-8925 | 2014-07-18 |
| 1588918338 | Wilkes Physician Network, Inc. | Family Medicine | 1900 W Park Dr, Suite-b, North Wilkesboro, NC 28659-3563 | 2012-11-01 |
| 1346538105 | Wilkes Physician Network, Inc. | Hospitalist | 1370 West D Street, North Wilkesboro, NC 28659-3506 | 2011-07-14 |
| 1750685533 | Wilkes Physician Network, Inc. | Pediatrics | 1915 West Park Dr, Suite 103, North Wilkesboro, NC 28659-3777 | 2011-01-07 |
| 1427362235 | Wilkes Physician Network, Inc. | Family Medicine | 1900 W Park Dr, Urgent Care of Wilkes, North Wilkesboro, NC 28659-3563 | 2010-08-04 |
| 1407177199 | Wilkes Physician Network, Inc. | Family Medicine | 1534 W D St, North Wilkesboro, NC 28659-3528 | 2010-06-16 |
| 1710202429 | Wilkes Physician Network, Inc. | Internal Medicine | 1404 Willow Ln, Greenway Healthcare, North Wilkesboro, NC 28659-3584 | 2010-04-06 |
| 1659602449 | Wilkes Physician Network, Inc. | Internal Medicine | 1404 Willow Ln, Wilkes Regional Gastroenterology, North Wilkesboro, NC 28659-3584 | 2010-01-19 |
| Street Address |
1405 WILLOW LN NORTHWEST CAROLINA WOMEN'S CENTER |
| City | NORTH WILKESBORO |
| State | NC |
| Zip Code | 28659-3551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942299789 | Mary Knuth Tucker | Nurse Practitioner | 1405 Willow Ln, Suite A, North Wilkesboro, NC 28659-3551 | 2005-10-14 |
| 1659631083 | Pamela Lynn Aiken | Nurse Practitioner | 1405 Willow Ln, Suite B, North Wilkesboro, NC 28659-3551 | 2012-05-18 |
| 1427169739 | Dorothy Lunette Floyd | Obstetrics & Gynecology | 1405 Willow Ln, North Wilkesboro, NC 28659-3551 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013579689 | Lisa C Carr | Social Worker | 1400 Willow Ln # C61-2, North Wilkesboro, NC 28659 | 2019-07-03 |
| 1780141507 | Brenda Barber | Counselor | 200 Northview Plaza, North Wilkesboro, NC 28659 | 2019-02-28 |
| 1639696941 | Lifespan Incorporated | Community/Behavioral Health | 2070 River Road, North Wilkesboro, NC 28659 | 2017-08-28 |
| 1184146011 | Daymark Recovery Services Inc | Community/Behavioral Health | 200 C.c. Wright School Road, Classrooms 126, 127, North Wilkesboro, NC 28659 | 2017-07-12 |
| 1033568258 | Rgm Al Holdings, LLC | Assisted Living Facility | 240 Independence Ave, North Wilkesboro, NC 28659 | 2016-06-08 |
| 1376997999 | Hayden Church | Driver | 29 Boone Trail, North Wilkesboro, NC 28659 | 2016-04-20 |
| 1033563192 | Nathan Grant Davis | Emergency Medicine | Wake Forest Baptist Health- Wilkes Medical Center, 1370 W D St, North Wilkesboro, NC 28659 | 2016-04-14 |
| 1720425408 | Lindsay Brooke Spears | Dentist | 1915 West Park Drive Ste 104, Wilkes Public Health Dental West, North Wilkesboro, NC 28659 | 2013-06-04 |
| 1881983419 | Pruitthealth Hospice, Inc. | Hospice Care, Community Based | 902 West D St, Ste B, North Wilkesboro, NC 28659 | 2011-04-05 |
| 1275838096 | Barium Springs Home for Children | Community Based Residential Treatment Facility, Mental Illness | 517 Boston Ave, North Wilkesboro, NC 28659 | 2011-01-26 |
| Find all providers in zip 28659 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235316274 | Benion S. Horton, Md, PC | Obstetrics & Gynecology | 1405 Willow Lane, North Wilkesboro, NC 28659 | 2008-01-22 |
| 1306987953 | Foothills Center for Women, P.a. | Obstetrics & Gynecology | 112 Boone Trl, North Wilkesboro, NC 28659-3514 | 2007-02-08 |
| 1689715245 | Duane H Smith | Obstetrics & Gynecology | 112 Boone Trl, North Wilkesboro, NC 28659-3514 | 2007-02-08 |
| 1427169739 | Dorothy Lunette Floyd | Obstetrics & Gynecology | 1405 Willow Ln, North Wilkesboro, NC 28659-3551 | 2006-08-31 |
| 1508846932 | Daniel H Laury | Obstetrics & Gynecology | 1370 W D St, North Wilkesboro, NC 28659 | 2006-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336755057 | Holly Springs Ob/gyn, P.a. | Obstetrics & Gynecology | 104 Conway Ct, Cary, NC 27513-9400 | 2020-09-17 |
| 1184244881 | Carolinas Physicians Network Inc | Obstetrics & Gynecology | 150 Professional Park Dr Ste 200, Mooresville, NC 28117-5604 | 2020-04-22 |
| 1154940294 | Atrium Health North Market Network LLC | Obstetrics & Gynecology | 294 N Nc 16 Business Hwy, Denver, NC 28037-8011 | 2020-04-09 |
| 1649899782 | Atrium Health North Market Network LLC | Obstetrics & Gynecology | 101 E Wt Harris Blvd Ste 5002, Charlotte, NC 28262-3588 | 2020-04-09 |
| 1528617362 | Arboretum Obstetrics & Gynecology | Obstetrics & Gynecology | 3125 Springbank Ln Ste B, Charlotte, NC 28226-3379 | 2019-09-04 |
| 1346895489 | Benjamin Chi | Obstetrics & Gynecology | 111 Mason Farm Rd # 4300b, Chapel Hill, NC 27599-6136 | 2019-08-06 |
| 1265903256 | Albemarle Physician Services - Sentara, Inc | Obstetrics & Gynecology | 701 Luke St Ste D, Edenton, NC 27932-9680 | 2018-12-17 |
| 1396212080 | Fatima Sayyeda Ahmed | Obstetrics & Gynecology | 4904 Majestic Prince Ct, Raleigh, NC 27606-4269 | 2018-10-31 |
| 1174016711 | Moses Cone Physician Services, Inc. | Obstetrics & Gynecology | 520 Maple Ave Ste C, Reidsville, NC 27320-4600 | 2018-06-08 |
| 1467975672 | James Louis Price IIi | Obstetrics & Gynecology | 7830 Masonboro Sound Rd, Wilmington, NC 28409-2671 | 2017-07-19 |
| Find all providers with the same taxonomy | ||||
| City | NORTH WILKESBORO |
| Zip Code | 28659 |
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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.