WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER COMMUNITY PHYSICIANS (NPI# 1871780148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871780148 |
| Entity Type | Organization |
| Organization Name | WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER COMMUNITY PHYSICIANS |
| Other Organization Name | HILLSDALE FAMILY PRACTICE |
| Practice Address |
5391 Us Highway 158 Advance NC 27006-6907 |
| Practice Telephone | 3369402290 |
| Practice Fax Number | 3369402561 |
| Mailing Telephone | 3369402290 |
| Mailing Fax Number | 3369402561 |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2007-10-01 |
| Authorized Official Name | LEWIS S THORP III (PRESIDENT/CEO) |
| Authorized Official Telephone | 3367213900 |
| Is Organization Subpart | Y |
| Parent Organization Name | WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER COMMUNITY PHYSICIA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Hillsdale Family Practice | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871797688 | Wake Forest University Baptist Medical Center Community Physicians | Family Medicine | 5175 Old Clemmons School Road, Clemmons, NC 27012 | 2007-06-14 |
| 1972596211 | Wake Forest University Baptist Medical Center Community Physicians | Family Medicine | 167 Moore Rd, King, NC 27021-8770 | 2005-08-23 |
| 1477546620 | Wake Forest University Baptist Medical Center Community Physicians | Family Medicine | 910 Worth St, Foothills Primary Care, Mount Airy, NC 27030-4458 | 2005-08-23 |
| 1417940636 | Wake Forest University Baptist Medical Center Community Physicians | Family Medicine | 509 Brookdale Dr, Young Family Practice, Statesville, NC 28677-4107 | 2005-08-23 |
| 1013900356 | Wake Forest University Baptist Medical Center Community Physicians | Internal Medicine | 1916 West Park Dr, North Wilkesboro, NC 28659-3563 | 2005-08-23 |
| 1568455707 | Wake Forest University Baptist Medical Center Community Physicians | Pediatrics | 113 Marketplace Drive, Mocksville, NC 27028 | 2005-08-23 |
| 1316930654 | Wake Forest University Baptist Medical Center Community Physicians | Family Medicine | 7990 North Point Blvd, Winston Salem, NC 27106-3259 | 2005-08-23 |
| 1942489695 | Wake Forest University Baptist Medical Center Community Physicians | Family Medicine | 2801 Lyndhurst Ave, Winston Salem, NC 27103-4109 | 2007-10-30 |
| 1912111766 | Wake Forest University Baptist Medical Center Community Physicians | Internal Medicine | 1916 W Park Dr, North Wilkesboro, NC 28659-3563 | 2007-05-10 |
| 1588657605 | Wake Forest University Baptist Medical Center Community Physicians | Family Medicine | 304 Mountain View Rd, King, NC 27021-8768 | 2005-08-24 |
| Street Address |
5391 US HIGHWAY 158 |
| City | ADVANCE |
| State | NC |
| Zip Code | 27006-6907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942811567 | Venessa Brunt | Home Health | 271 Orchard Park Drive, Advance, NC 27006 | 2020-08-17 |
| 1730707928 | Dara Elzena Green | Physical Therapist | 142 Hollybrook Dr, Advance, NC 27006 | 2020-07-14 |
| 1104339084 | Mark Curry Maynard | Registered Nurse | 125 W Robin Dr, Advance, NC 27006 | 2017-11-14 |
| 1457781585 | Christa Cook | Physical Therapist | 316 N Carolina 801, Advance, NC 27006 | 2013-11-27 |
| 1801029582 | Bonnie T. Bergen | Pharmacist | 260 Us Hwy 801 N, Advance, NC 27006 | 2009-08-28 |
| 1073745485 | Digestive Health Specialists, Pa | Internal Medicine | 112 Kinderton Blvd, Advance, NC 27006 | 2009-08-18 |
| 1114101078 | Dr. Todd Carter D.d.s | Dentist | 123 Nc Highway 801 S. #c-100, Advance, NC 27006 | 2007-12-27 |
| 1437373883 | Adam T. Dorsett | Dentist | 127 Royal Troon Ln, Advance, NC 27006 | 2007-04-13 |
| 1861583882 | Todd H Carter | Dentist | 123 Nc Hwy 801 South, C-100, Advance, NC 27006 | 2006-09-27 |
| 1104927987 | Eckerd Corporation | Durable Medical Equipment & Medical Supplies | 260 Highway 801, Advance, NC 27006 | 2006-09-26 |
| Find all providers in zip 27006 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356853162 | Novant Medical Group, Inc. | Family Medicine | 5380 Us Highway 158 Ste 110, Advance, NC 27006-6974 | 2017-11-02 |
| 1629110036 | Takashi Hirata | Family Medicine | 121 Medical Dr, Advance, NC 27006-6651 | 2007-02-13 |
| 1457311003 | Franklin Lee Tolbert | Family Medicine | 147 Peachtree Ln, Advance, NC 27006-6753 | 2006-03-27 |
| 1780643197 | Richard Cornwall | Family Medicine | 235 Shallowbrook Dr, Advance, NC 27006 | 2006-03-23 |
| 1629611579 | Novant Medical Group. Inc. | Family Medicine | 121 Medical Dr, Advance, NC 27006-6651 | 2019-10-23 |
| 1417420795 | Novant Medical Group, Inc. | Family Medicine | 5380 Us Highway 158 Ste 110, Advance, NC 27006-6979 | 2019-01-09 |
| 1053812875 | Forsyth Memorial Hospital, Inc. | Family Medicine | 5380 Us Highway 158 Ste 110, Advance, NC 27006-6974 | 2018-02-27 |
| 1013346741 | Forsyth Memorial Hospital, Inc | Family Medicine | 121 Medical Dr, Advance, NC 27006-6651 | 2013-11-04 |
| 1215277181 | Forsyth Memorial Hospital Inc | Family Medicine | 121 Medical Dr, Advance, NC 27006-6651 | 2013-02-28 |
| 1306120795 | Advance Rehabilitation and Nursing | Family Medicine | 169 Yadkin Valley Rd, Suite 101, Advance, NC 27006-8786 | 2011-10-04 |
| Find all providers in ADVANCE | ||||
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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.