MR. CATHY PAUL PHELPS (NPI# 1982640322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982640322 |
| Entity Type | Individual |
| Full Name | MR. CATHY PAUL PHELPS |
| Credential | P.A.-C |
| Practice Address |
170 Kimel Park Dr Winston-salem NC 27103-6946 |
| Mailing Address |
4601 Park Rd Suite 300 Charlotte NC 28209-3239 |
| Practice Telephone | 7043232000 |
| Mailing Telephone | 7043232000 |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2014-06-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 100760 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
170 KIMEL PARK DR |
| City | WINSTON-SALEM |
| State | NC |
| Zip Code | 27103-6946 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659307023 | Molly R. Southern | Physical Therapist | 170 Kimel Park Dr, Winston-salem, NC 27103-6946 | 2006-06-25 |
| 1013951680 | Suzonne Ijames Stratton | Physician Assistant | 170 Kimel Park Dr, Winston-salem, NC 27103-6946 | 2006-06-15 |
| 1568409779 | Sandra Denise Martin | Occupational Therapist | 170 Kimel Park Dr, Winston-salem, NC 27103-6946 | 2006-05-31 |
| 1982662359 | John Edward Ritchie | Orthopaedic Surgery | 170 Kimel Park Dr, Winston-salem, NC 27103-6946 | 2006-05-03 |
| 1750349130 | Charles Van Taft | Orthopaedic Surgery | 170 Kimel Park Dr, Winston-salem, NC 27103-6946 | 2006-05-03 |
| 1538127303 | Frank Edward Pollock Jr. | Orthopaedic Surgery | 170 Kimel Park Dr, Winston-salem, NC 27103-6946 | 2006-05-02 |
| 1417913401 | Stephan Bechtler Lowe | Orthopaedic Surgery | 170 Kimel Park Dr, Winston-salem, NC 27103-6946 | 2006-04-26 |
| 1023074432 | Alonzo Dixon Kornegay | Orthopaedic Surgery | 170 Kimel Park Dr, Winston-salem, NC 27103-6946 | 2006-04-25 |
| 1134185697 | Timothy Wade Mcgowen | Orthopaedic Surgery | 170 Kimel Park Dr, Winston-salem, NC 27103-6946 | 2006-04-25 |
| 1326003385 | Gregory Grant Holthusen | Orthopaedic Surgery | 170 Kimel Park Dr, Winston-salem, NC 27103-6946 | 2006-04-20 |
| Find all providers in the same location | ||||
| 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 | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487068540 | Anne Tyson Edwards | Physician Assistant | 2020 Peacehaven Rd., Winston-salem, NC 27106 | 2014-06-17 |
| 1841469590 | Forsyth Memorial Hospital, Inc | Physician Assistant | 390 Salem Avenue, Dba Salem Family Practice At Gateway, Winston-salem, NC 27101 | 2008-02-27 |
| 1336334853 | Ellee L Wallace | Physician Assistant | 2025 Frontis Plaza Blvd., Suite 120 Forsyth Comprehensive Neurology, Winston-salem, NC 27103 | 2007-09-07 |
| 1861611527 | Wayne Vonseggen | Physician Assistant | Wfu Baptist Medical Center, Medical Center Blvd, Winston-salem, NC 27157-0000 | 2007-04-24 |
| 1831272087 | Christopher Culley | Physician Assistant | 4622 Country Club Road, Suite 180, Winston-salem, NC 27023-3770 | 2006-10-23 |
| 1568562320 | Deborah Friel Zimmermann | Physician Assistant | 2927 Lyndhurst Avenue, Winston-salem, NC 27103 | 2006-09-22 |
| 1669434148 | Charles Jeffrey Beach | Physician Assistant | 140 Kimel Park Dr, Winston-salem, NC 27103-6946 | 2006-04-03 |
| 1922086909 | Blanche E. Brais | Physician Assistant | 105 Vest Mill Cir, Winston-salem, NC 27103-2943 | 2006-01-09 |
| 1134773609 | Lorae Marie Schafer | Physician Assistant | 186 Kimel Park Dr, Winston-salem, NC 27103 | 2019-08-01 |
| 1811378185 | Melissa Ann Holmes | Physician Assistant | 1 Medical Center Blvd, Winston-salem, NC 27103 | 2015-06-12 |
| Find all providers in WINSTON-SALEM | ||||
| City | WINSTON-SALEM |
| Zip Code | 27103 |
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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.