DR. WILLARD L MCCLOUD JR. (NPI# 1891831905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891831905 |
| Entity Type | Individual |
| Full Name | DR. WILLARD L MCCLOUD JR. |
| Credential | MD |
| Practice Address |
620 Dunleith Ave Winston Salem NC 27101-3374 |
| Mailing Address |
3737 Spaulding Dr Winston Salem NC 27105-4832 |
| Practice Telephone | 3367592257 |
| Practice Fax Number | 3367597778 |
| Mailing Telephone | 3367232719 |
| Mailing Fax Number | 3367241062 |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 24685 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8955819 | 05 |
| Street Address |
620 DUNLEITH AVE |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27101-3374 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003421876 | Annie Carolina Mccollum | Occupational Therapist | 3 S Martin Luther King Jr Dr, Winston-salem, NC 27101 | 2020-09-09 |
| 1891321337 | Philippe Ayres | Personal Emergency Response Attendant | 475 Vine St., Bowman Gray Center for Medical Education, Winston-salem, NC 27101 | 2020-03-17 |
| 1497385595 | Aereil Moore | Counselor | 655 West 4th St, Winston Salem, NC 27101 | 2020-01-17 |
| 1619519428 | Brandi Melissa Decriscio | Nurse Practitioner | 1200 N Martin Luther King Jr Drive, Winston-salem, NC 27101 | 2019-10-14 |
| 1316502909 | Burke Street Chiropractic, Pllc | Chiropractor | 1016 Burke St., Winston-salem, NC 27101 | 2019-05-08 |
| 1790349728 | Nakia Carter | Counselor | 1o1o W. Northwest Boulevard, Winston-salem, NC 27101 | 2019-04-25 |
| 1003391251 | Hannah Fortwengler Rainey | Nurse Anesthetist, Certified Registered | Medical Center Blvrd, Winston-salem, NC 27101 | 2018-10-03 |
| 1750875928 | Susan Wilhelm Patterson | Nurse Practitioner | 1200 Martin Luther King Jr Dr, Winston-salem, NC 27101 | 2018-06-20 |
| 1194228049 | Anjanette Gilley Benjamin | Counselor | 650 Highland Ave Ste 1000, Winston Salem, NC 27101 | 2018-03-16 |
| 1376054627 | Paulisha Da-shawna Mcintyre | Social Worker | 650 Highland Ave Ste 101, Winston Salem, NC 27101 | 2017-10-13 |
| Find all providers in zip 27101 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| 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 Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821380874 | Margaret A Greven | Ophthalmology | Medical Center Blvd Dept of Ophthalmology, Winston Salem, NC 27157-3216 | 2011-05-10 |
| 1851531602 | Henry W Burnett, M.d., P.a. | Ophthalmology | 110 Oakwood Dr, Suite 380, Winston Salem, NC 27103-1957 | 2009-03-05 |
| 1770721565 | The Center for Sight, Pllc | Ophthalmology | 4964 University Pkwy Ste 105, Winston Salem, NC 27106-2800 | 2009-02-02 |
| 1922281385 | Chanda A. Griessel M.d., Pllc | Ophthalmology | 150 Kimel Park Dr, Suite 200, Winston Salem, NC 27103-6992 | 2007-12-07 |
| 1700097060 | Susanna S Ringeman | Ophthalmology | 2827 Lyndhurst Ave Ste 204, Winston Salem, NC 27103-4145 | 2007-05-25 |
| 1376682344 | Mark H Nelson Md Pa | Ophthalmology | 750 Highland Oaks Dr, Suite 100, Winston Salem, NC 27103-7105 | 2007-02-06 |
| 1023192911 | Frank Moya | Ophthalmology | 2025 Frontis Plaza Blvd Ste 100, Winston Salem, NC 27103-5663 | 2006-10-25 |
| 1306856703 | Chanda Annette Griessel | Ophthalmology | 150 Kimel Park Dr Ste 200, Winston Salem, NC 27103-6992 | 2006-08-08 |
| 1598729147 | Hawthorne Eye Associates, P.a. | Ophthalmology | 1364 Westgate Center Dr, Winston Salem, NC 27103-2932 | 2006-04-12 |
| 1720069693 | Buena Vista Eye PC | Ophthalmology | 1214 Reynolda Rd, Suite A, Winston Salem, NC 27104-1122 | 2005-11-08 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27101 |
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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.