DR. PAUL DOUGLASS WORTMAN (NPI# 1932108461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932108461 |
| Entity Type | Individual |
| Full Name | DR. PAUL DOUGLASS WORTMAN |
| Credential | M.D. |
| Practice Address |
127 S Poplar St Winston Salem NC 27101-3755 |
| Practice Telephone | 3368938423 |
| Practice Fax Number | 3368938426 |
| Mailing Telephone | 3368938423 |
| Mailing Fax Number | 3368938426 |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2019-07-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 35791 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PARTNERS | 4521 | 01 | |
| CIGNA | 6309395 | 01 | |
| UNITED HEALTHCARE | 0300482 | 01 | |
| NC | 8989261 | 05 | |
| NC | BCBS NC | 89261 | 01 |
| RAILROAD MEDICARE | P00371225 | 01 | |
| AETNA | 5975022 | 01 | |
| MEDCOST | E2611 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275521205 | Paul Wortman | Dentist | 215 E Douglas St, Elkhorn, NE 68022-1417 | 2005-10-13 |
| Street Address |
127 S POPLAR ST |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27101-3755 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326547449 | Rhonda Lynn Davis | Social Worker | 127 S Poplar St, Winston Salem, NC 27101-3755 | 2018-02-04 |
| 1346437274 | Aids Care Service, Inc | Nursing Care | 127 S Poplar St, Winston Salem, NC 27101-3755 | 2007-09-25 |
| 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 | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982067120 | Jacquelyn Marjorie Majerowski | Dermatology | Department of Pathology Medical Center Boulevard, Winston Salem, NC 27157-4330 | 2016-04-04 |
| 1588077747 | Christine Ahn | Dermatology | 300 Medical Center Blvd, Winston Salem, NC 27157-0003 | 2014-06-05 |
| 1437379476 | Wesley Raymond Hawfield | Dermatology | 175 Kimel Park Drive, Winston Salem, NC 27103-1508 | 2007-05-01 |
| 1164573226 | Sarah L Taylor | Dermatology | 4618 Country Club Road, Wake Forest Baptist Health Medical Plaza, Winston Salem, NC 27104-3520 | 2007-01-16 |
| 1699836908 | Triad Dermatology Pa | Dermatology | 725 Highland Oaks Drive, Suite 106, Winston Salem, NC 27103 | 2006-12-12 |
| 1578675179 | Anne L White | Dermatology | 1255 Creekshire Way Ste 290, Winston Salem, NC 27103-3061 | 2006-08-31 |
| 1649237082 | Skin Surgery Center Pa | Dermatology | 1450 Professional Park Dr, Suite 150, Winston Salem, NC 27103-1300 | 2006-04-28 |
| 1720063175 | Steven Richard Feldman | Dermatology | 4618 Country Club Rd, Winston Salem, NC 27104-3520 | 2005-12-08 |
| 1497756647 | Alan D Klein | Dermatology | 2020 Peace Haven Rd, Winston Salem, NC 27106-4851 | 2005-08-09 |
| 1629544689 | Kimberly Kincaid Mcpeeks | Dermatology | 4618 Country Club Rd, Winston Salem, NC 27104-3520 | 2018-10-17 |
| 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.