WINGATE UNIVERSITY (NPI# 1932586377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932586377 |
| Entity Type | Organization |
| Organization Name | WINGATE UNIVERSITY |
| Other Organization Name | WINGATE UNIVERSITY SPORTS MEDICINE |
| Practice Address |
220 N Camden Rd Wingate NC 28174-9644 |
| Mailing Address |
Po Box 650850 Dept 1011 Dallas TX 75265-0850 |
| Practice Telephone | 9723674845 |
| Practice Fax Number | 9723673451 |
| Mailing Telephone | 8005559073 |
| Mailing Fax Number | 9723673452 |
| Enumeration Date | 2015-05-06 |
| Last Update Date | 2015-05-06 |
| Authorized Official Name | MOUZON BASS (AGENT) |
| Authorized Official Telephone | 9723674845 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians | ||
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Wingate University Sports Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497132963 | Wingate University | Clinic/Center | 109 N. Camden Rd, Wingate, NC 28174 | 2015-05-04 |
| 1538581459 | Wingate University | Specialist/Technologist | 220 N Camden Rd, Wingate, NC 28174-9644 | 2014-01-12 |
| 1164079372 | Wingate University | Clinic/Center | 109 N. Camden Rd., Wingate, NC 28174 | 2019-08-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | WINGATE UNIVERSITY | 220 N Camden Rd, Wingate, NC 28174-9644 |
| Street Address |
220 N CAMDEN RD |
| City | WINGATE |
| State | NC |
| Zip Code | 28174-9644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538581459 | Wingate University | Specialist/Technologist | 220 N Camden Rd, Wingate, NC 28174-9644 | 2014-01-12 |
| 1982216172 | Julia Lauren Chabai | Physician Assistant | 220 N Camden Rd, Wingate, NC 28174-9644 | 2020-08-19 |
| 1437638590 | Noah Macniven | Specialist/Technologist | 220 N Camden Rd, Wingate, NC 28174-9644 | 2018-08-09 |
| 1497272439 | Victoria Elizabeth Panzica | Specialist/Technologist | 220 N Camden Rd, Wingate, NC 28174-9644 | 2017-08-29 |
| 1386178051 | Natalie Elizabeth High | Specialist/Technologist | 220 N Camden Rd, Box 5002, Wingate, NC 28174-9644 | 2017-04-19 |
| 1710411475 | Danielle Burningham | Specialist/Technologist | 220 N Camden Rd, Wingate, NC 28174-9644 | 2017-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952880841 | Nicole Sue Inskeep | Specialist/Technologist | 130 E Wilson St, Wingate, NC 28174 | 2018-08-10 |
| 1124547484 | Andrew Sorenson | Specialist/Technologist | 224 E Wilson St, Wingate, NC 28174 | 2017-09-18 |
| 1417476854 | Danielle Nicole Lapergola | Specialist/Technologist | 224 East Wilson Street, Wingate, NC 28174 | 2017-09-18 |
| 1497132963 | Wingate University | Clinic/Center | 109 N. Camden Rd, Wingate, NC 28174 | 2015-05-04 |
| 1033539531 | April Robinson | Pharmacist | 515 N. Main Street, Box 3087, Wingate, NC 28174 | 2014-04-23 |
| 1831513043 | Alex Maginnis | Specialist/Technologist | 230 N Camden Rd, Wingate, NC 28174 | 2014-02-07 |
| 1508287889 | Timothy Singleton | Specialist/Technologist | 230 N. Camden Rd., Wingate, NC 28174 | 2014-01-03 |
| 1508297995 | Alex Plyler | Specialist/Technologist | 4709 Olive Branch Rd., Wingate, NC 28174 | 2013-12-10 |
| 1861749822 | Adriane J Brackett | Pharmacist | 311 East Wilson Avenue, Campus Box 3087 (school of Pharmacy), Wingate, NC 28174 | 2012-08-09 |
| 1336453547 | Jennifer Ashley Wilson | Pharmacist | 515 N. Main St., Wingate, NC 28174 | 2010-07-29 |
| Find all providers in zip 28174 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://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 Medicine. |
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| 1255825410 | Novant Medical Group Inc. | Family Medicine | 15033 Balloncroft Parkway, Suite 200, Charlotte, NC 28277 | 2018-06-20 |
| 1760831028 | William M Sykes | Family Medicine | 129 T.t. Lanier St., Buies Creek, NC 27506 | 2016-06-08 |
| 1730561655 | Brendan Jay Michel | Family Medicine | 437 Little Fisher Trl, Mount Airy, NC 27030-6900 | 2015-06-27 |
| 1699179804 | Carolinas Physicians Network Inc | Family Medicine | 48380 Us Highway 52 N, Misenheimer, NC 28109 | 2014-10-17 |
| 1548509805 | Carolinas Physician Network, Inc. | Family Medicine | 332 North Trade Street, Suite 1200, Matthews, NC 28105-6566 | 2013-02-06 |
| 1699903211 | Robert Alcott | Family Medicine | 6050 W Highway 74, Ste D, Indian Trail, NC 28079-3591 | 2009-06-23 |
| 1962637926 | Thomas Joseph Thekkekandam | Family Medicine | 1635 Nc Highway 66 S, Suite 210, Kernersville, NC 27284-3854 | 2009-05-20 |
| 1477738714 | Forsyth Medical Group, LLC. | Family Medicine | 1900 S Hawthorne Rd Ste 480, Dba Sports Medicine Associates, Winston Salem, NC 27103-3913 | 2008-01-07 |
| 1396938171 | Lawrence M Linett, Md, Pllc | Family Medicine | 431 Western Blvd Ste E, Jacksonville, NC 28546-6823 | 2007-08-24 |
| 1962536516 | Richard T. Ferro | Family Medicine | 6832 Market St, Suite A, Wilmington, NC 28405-9723 | 2007-03-15 |
| Find all providers with the same taxonomy | ||||
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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.