WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER COMMUNITY PHYSICIANS (NPI# 1922091271) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922091271 |
| Entity Type | Organization |
| Organization Name | WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER COMMUNITY PHYSICIANS |
| Other Organization Name | WESTGATE PEDIATRICS |
| Practice Address |
3746 Vest Mill Rd Winston Salem NC 27103-2912 |
| Practice Telephone | 3367740710 |
| Practice Fax Number | 3367740707 |
| Mailing Telephone | 3367740710 |
| Mailing Fax Number | 3367740707 |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2008-04-10 |
| Authorized Official Name | MR. 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 | 208000000X | Pediatrics | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 890290N | 05 |
| Other Name | Type Code |
|---|---|
| Westgate Pediatrics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871780148 | Wake Forest University Baptist Medical Center Community Physicians | Family Medicine | 5391 Us Highway 158, Advance, NC 27006-6907 | 2007-10-01 |
| 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 |
| Street Address |
3746 VEST MILL RD |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27103-2912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255323465 | Shelley Rae Kreiter | Pediatrics | 3746 Vest Mill Rd, Winston Salem, NC 27103-2912 | 2005-08-16 |
| 1780070854 | Katharine Meyer | Pediatrics | 3746 Vest Mill Rd, Winston Salem, NC 27103 | 2015-04-15 |
| 1851730857 | Kimberly Samantha Dunn | Physician Assistant | 3746 Vest Mill Rd, Winston Salem, NC 27103-2912 | 2013-06-24 |
| 1851611883 | Ryan Aubuchon | Pediatrics | 3746 Vest Mill Rd, Winston Salem, NC 27103-2912 | 2010-06-01 |
| 1912186990 | Shayne Ethan Bates | Pediatrics | 3746 Vest Mill Rd, Winston Salem, NC 27103-2912 | 2007-10-26 |
| 1285606210 | Johnathan D Rhyne | Pediatrics | 3746 Vest Mill Rd, Winston Salem, NC 27103-2912 | 2006-02-03 |
| 1801889589 | Rebecca Yamin Weinshilboum | Pediatrics | 3746 Vest Mill Rd, Westgate Pediatrics, Winston Salem, NC 27103 | 2005-08-26 |
| 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 | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609223601 | Ashmitha Raja | Pediatrics | Medical Centre Blvd, Winston Salem, NC 27157-0001 | 2016-05-19 |
| 1598128050 | Rebecca Palmer | Pediatrics | Brenner Childrens Hospital 300 Medical Blvd, Dept of Pediatrics, Winston Salem, NC 27157-0001 | 2016-04-01 |
| 1396131157 | Sarah Barnes Bingham | Pediatrics | One Medical Center Boulevard Emergency Medicine, Winston Salem, NC 27157 | 2015-04-08 |
| 1841685849 | Anna Hang Verenes | Pediatrics | Wake Forest Baptist Health Pediatrics, Medical Center Blvd, Winston Salem, NC 27157 | 2015-04-06 |
| 1568875227 | Kimberly Myers | Pediatrics | Wake Forest Baptist Medical, Medical Center Blvd, Winston Salem, NC 27157-0001 | 2014-06-10 |
| 1760700736 | Jennifer Mickle Cooper | Pediatrics | 2295 E 14th St Ste 100, Winston Salem, NC 27105-6804 | 2010-05-14 |
| 1215179700 | Cyndy Edwards Lively | Pediatrics | 1417 Brookstown Ave, Winston Salem, NC 27101-1126 | 2009-03-30 |
| 1205003274 | Bahar Emily Esmaili | Pediatrics | Wake Forest University Baptist Hospital, Medical Center Blvd, Winston Salem, NC 27157-0001 | 2008-05-09 |
| 1922274240 | Mdfamily Medical Group | Pediatrics | 138 S Cherry St, Winston Salem, NC 27101-5272 | 2008-05-06 |
| 1083714364 | Lia Simpson Erickson | Pediatrics | 648 East Monmouth Street, Winston Salem, NC 27107 | 2006-09-25 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27103 |
Please comment or provide details below to improve the information on WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER COMMUNITY PHYSICIANS.
| 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.