Kimberlee Banks Blaylock (NPI# 1225024029, PAC ID# 0941264691) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1225024029 |
| PAC ID by PECOS | 0941264691 |
| Professional Enrollment ID | I20041112001038 |
| Full Name | Kimberlee Banks Blaylock |
| Organization Legal Name | PIEDMONT TRIAD ANESTHESIA, PA |
| Address |
3333 Silas Creek Pwky Winston Salem NC 27103-3013 |
| Phone Number | 3367185000 |
| Gender | F |
| Credential | PA |
| Graduation Year | 2004 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 8426020025 |
| Number of Group Practice Members | 146 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340014 | NOVANT HEALTH FORSYTH MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 145 Kimel Park Dr, Suite 120, Winston Salem, NC 27103-6972 | 3367683212 | PIEDMONT TRIAD ANESTHESIA, PA |
| 3333 Silas Creek Pwky, Winston Salem, NC 27103-3013 | 3367185000 | PIEDMONT TRIAD ANESTHESIA, PA |
| Organization Legal Name | PIEDMONT TRIAD ANESTHESIA, PA |
| Physicians | 124 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Noelle Annette Desimone | Anesthesiology | Piedmont Triad Anesthesia, Pa | 3333 Silas Creek Pwky, Winston Salem, NC 27103-3013 |
| Ryan S Dreikorn | Certified Registered Nurse Anesthetist (crna) | Piedmont Triad Anesthesia, Pa | 654 Wishbone Farm Rd, Kernersville, NC 27284-7947 |
| Carie S Nunley | Certified Registered Nurse Anesthetist (crna) | Piedmont Triad Anesthesia, Pa | 145 Kimel Park Dr, Suite 120, Winston-salem, NC 27103-6983 |
| Adair Q Locke | Anesthesiology | Piedmont Triad Anesthesia, Pa | 6915 Village Medical Cir, Clemmons, NC 27012-8002 |
| Connie S Freeman | Certified Registered Nurse Anesthetist (crna) | Piedmont Triad Anesthesia, Pa | 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 |
| Holly C Pegram | Certified Registered Nurse Anesthetist (crna) | Piedmont Triad Anesthesia, Pa | 6915 Village Medical Cir, Clemmons, NC 27012-8002 |
| Jessica S Rose | Certified Registered Nurse Anesthetist (crna) | Piedmont Triad Anesthesia, Pa | 6915 Village Medical Cir, Clemmons, NC 27012-8002 |
| Marcus A Helms | Certified Registered Nurse Anesthetist (crna) | Piedmont Triad Anesthesia, Pa | 145 Kimel Park Dr, Suite 120, Winston-salem, NC 27103-6983 |
| Mary K Leavery | Certified Registered Nurse Anesthetist (crna) | Piedmont Triad Anesthesia, Pa | 145 Kimel Park Dr, Suite 120, Winston-salem, NC 27103-6983 |
| Tammy V Phinney | Certified Registered Nurse Anesthetist (crna) | Piedmont Triad Anesthesia, Pa | 145 Kimel Park Dr, Suite 120, Winston-salem, NC 27103-6983 |
| Street Address |
3333 SILAS CREEK PWKY |
| City | WINSTON SALEM |
| State | NC |
| Zip | 27103-3013 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Noelle Annette Desimone | Anesthesiology | Piedmont Triad Anesthesia, Pa | 3333 Silas Creek Pwky, Winston Salem, NC 27103-3013 |
| Joseph F Mcconville | Anesthesiology | Piedmont Triad Anesthesia, Pa | 3333 Silas Creek Pwky, Winston Salem, NC 27103-3013 |
| Katherine W Suttle | Anesthesiology | Piedmont Triad Anesthesia, Pa | 3333 Silas Creek Pwky, Winston Salem, NC 27103-3013 |
| Emily Crawford Williamson | Anesthesiology | Piedmont Triad Anesthesia, Pa | 3333 Silas Creek Pwky, Winston Salem, NC 27103-3013 |
| Curtis B Johnsrude | Anesthesiology | Piedmont Triad Anesthesia, Pa | 3333 Silas Creek Pwky, Winston Salem, NC 27103-3013 |
| Daniel J Kennedy | Anesthesiology | Piedmont Triad Anesthesia, Pa | 3333 Silas Creek Pwky, Winston Salem, NC 27103-3013 |
| Mary Charles Mcarthur Messenger | Physician Assistant | Piedmont Triad Anesthesia, Pa | 3333 Silas Creek Pwky, Winston Salem, NC 27103-3013 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Predrag V Gligorovic | Psychiatry | Wake Forest University Health Sciences | 791 Jonestown Rd, Wfbh Psychiatry Jonestown, Winston-salem, NC 27103-1252 |
| John G Spangler | Family Medicine | Wake Forest University Health Sciences | 791 Jonestown Rd, Wfbh Psychiatry Jonestown, Winston-salem, NC 27103-1252 |
| Sahil Munjal | Psychiatry | Wake Forest University Health Sciences | 791 Jonestown Rd, Wfbh Psychiatry Jonestown, Winston-salem, NC 27103-1252 |
| Stephen I Kramer | Psychiatry | Wake Forest University Health Sciences | 791 Jonestown Rd, Wfbh Psychiatry Jonestown, Winston-salem, NC 27103-1252 |
| Gayathri D Tadepalli | Psychiatry | Wake Forest University Health Sciences | 791 Jonestown Rd, Wfbh Psychiatry Jonestown, Winston-salem, NC 27103-1252 |
| Richard Patrick Smith | Psychiatry | Wake Forest University Health Sciences | 791 Jonestown Rd, Wfbh Psychiatry Jonestown, Winston-salem, NC 27103-1252 |
| James N Kimball | Psychiatry | Wake Forest University Health Sciences | 791 Jonestown Rd, Wfbh Psychiatry Jonestown, Winston-salem, NC 27103-1252 |
| Katherine Atala | Psychiatry | Wake Forest University Health Sciences | 791 Jonestown Rd, Wfbh Psychiatry Jonestown, Winston-salem, NC 27103-1252 |
| Heather Douglas | Psychiatry | Wake Forest University Health Sciences | 791 Jonestown Rd, Wfbh Psychiatry Jonestown, Winston-salem, NC 27103-1252 |
| Richard Adam Boiter | Psychiatry | Wake Forest University Health Sciences | 791 Jonestown Rd, Wfbh Psychiatry Jonestown, Winston-salem, NC 27103-1252 |
| Find all physicians in zip 27103 | |||
| City | WINSTON SALEM |
| Zip Code | 27103 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | WINSTON SALEM + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Kimberlee Banks Blaylock.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.