Gwendolyn Field Wagoner (NPI# 1396955589, PAC ID# 7416041702) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1396955589 |
| PAC ID by PECOS | 7416041702 |
| Professional Enrollment ID | I20070918000077 |
| Full Name | Gwendolyn Field Wagoner |
| Organization Legal Name | PIEDMONT EAR, NOSE AND THROAT ASSOCIATES, P.A. |
| Address |
423 S S St Suite 204 Mount Airy NC 27030-4577 |
| Phone Number | 3367867366 |
| Gender | F |
| Graduation Year | 2002 |
| Primary Specialty | OTOLARYNGOLOGY |
| Group Practice PAC ID | 4486617032 |
| Number of Group Practice Members | 19 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340014 | NOVANT HEALTH FORSYTH MEDICAL CENTER |
| 340003 | NORTHERN HOSPITAL OF SURRY COUNTY |
| Address | Phone | Organization |
|---|---|---|
| 423 S S St, Suite 204, Mount Airy, NC 27030-4577 | 3367867366 | PIEDMONT EAR, NOSE AND THROAT ASSOCIATES, P.A. |
| 110 Charlois Blvd, Winston Salem, NC 27103-1522 | 3367683361 | PIEDMONT EAR, NOSE AND THROAT ASSOCIATES, P.A. |
| Organization Legal Name | PIEDMONT EAR, NOSE AND THROAT ASSOCIATES, P.A. |
| Physicians | 20 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William C Scurry Jr. | Otolaryngology | Piedmont Ear, Nose and Throat Associates, P.a. | 197 Stadium Oaks Dr A, Clemmons, NC 27012-8962 |
| Amanda Ary | Qualified Audiologist | Piedmont Ear, Nose and Throat Associates, P.a. | 110 Charlois Blvd, Winston Salem, NC 27103-1522 |
| William F Mcguirt Jr. | Otolaryngology | Piedmont Ear, Nose and Throat Associates, P.a. | 197 Stadium Oaks Dr A, Clemmons, NC 27012-8962 |
| Sharon D Malanowski | Qualified Audiologist | Piedmont Ear, Nose and Throat Associates, P.a. | 110 Charlois Blvd, Winston Salem, NC 27103-1522 |
| Nicole B Satterwhite | Qualified Audiologist | Piedmont Ear, Nose and Throat Associates, P.a. | 110 Charlois Blvd, Winston Salem, NC 27103-1522 |
| Sarah D Hill | Qualified Audiologist | Piedmont Ear, Nose and Throat Associates, P.a. | 110 Charlois Blvd, Winston Salem, NC 27103-1522 |
| Joseph Inman | Otolaryngology | Piedmont Ear, Nose and Throat Associates, P.a. | 110 Charlois Blvd, Winston Salem, NC 27103-1522 |
| Ann Q Bogard | Otolaryngology | Piedmont Ear, Nose and Throat Associates, P.a. | 110 Charlois Blvd, Winston Salem, NC 27103-1522 |
| Stephen A Harper | Otolaryngology | Piedmont Ear, Nose and Throat Associates, P.a. | 197 Stadium Oaks Dr A, Clemmons, NC 27012-8962 |
| Carl D Phipps | Otolaryngology | Piedmont Ear, Nose and Throat Associates, P.a. | 110 Charlois Blvd, Winston Salem, NC 27103-1522 |
| Street Address |
423 S S ST SUITE 204 |
| City | MOUNT AIRY |
| State | NC |
| Zip | 27030-4577 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ben Alfred Raines | Family Medicine | Northern Hospital District of Surry County. | 423 S S St, Mount Airy, NC 27030-4576 |
| Robert Van Williamson | Orthopedic Surgery | Northern Hospital District of Surry County. | 423 S S St, Mount Airy, NC 27030-4576 |
| James David Kay | Cardiovascular Disease (cardiology) | Northern Hospital District of Surry County. | 423 S S St, Mount Airy, NC 27030-4576 |
| James Lee Derrick | Physician Assistant | Northern Hospital District of Surry County. | 423 S S St, Mount Airy, NC 27030-4576 |
| John B Davis | Urology | Northern Hospital District of Surry County. | 423 S S St, Mount Airy, NC 27030-4576 |
| Jason L Ferris | Physician Assistant | Northern Hospital District of Surry County. | 423 S S St, Mount Airy, NC 27030-4576 |
| Donna C Davis | Nurse Practitioner | Northern Hospital District of Surry County. | 423 S S St, Mount Airy, NC 27030-4576 |
| Lena Anderson Ferris | Nurse Practitioner | Northern Hospital District of Surry County. | 423 S S St, Mount Airy, NC 27030-4576 |
| David M Werle | Urology | Northern Hospital District of Surry County. | 423 S S St, Mount Airy, NC 27030-4576 |
| Emidio Michael Novembre | Interventional Pain Management | Northern Hospital District of Surry County. | 423 S S St, Mount Airy, NC 27030-4576 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly Bowers | Clinical Social Worker | Daymark Recovery Services Inc | 847 W Lake Dr, Mount Airy, NC 27030-2157 |
| Nicholas T Kipreos | Family Medicine | Forsyth Memorial Hospital Inc | 865 W Lake Dr, Mount Airy, NC 27030-2157 |
| Mark A Dodd | Family Medicine | Forsyth Memorial Hospital Inc | 865 W Lake Dr, Mount Airy, NC 27030-2157 |
| Alison L Shiminski | Physician Assistant | Forsyth Memorial Hospital Inc | 865 W Lake Dr, Mount Airy, NC 27030-2157 |
| Michelle Combs | Physician Assistant | Forsyth Memorial Hospital Inc | 865 W Lake Dr, Mount Airy, NC 27030-2157 |
| Emily S Epling | Physician Assistant | Forsyth Memorial Hospital Inc | 865 W Lake Dr, Mount Airy, NC 27030-2157 |
| Elizabeth A Casstevens | Nurse Practitioner | Forsyth Memorial Hospital Inc | 865 W Lake Dr, Mount Airy, NC 27030-2157 |
| Jamie S Raymond | Nurse Practitioner | Forsyth Memorial Hospital Inc | 865 W Lake Dr, Mount Airy, NC 27030-2157 |
| Linda M Gatchel | Clinical Social Worker | Daymark Recovery Services Inc | 847 W Lake Dr, Mount Airy, NC 27030-2157 |
| Frantz E Pierre | Psychiatry | Daymark Recovery Services Inc | 847 W Lake Dr, Mount Airy, NC 27030-2157 |
| Find all physicians in zip 27030 | |||
| City | MOUNT AIRY |
| Zip Code | 27030 |
| Specialty | OTOLARYNGOLOGY |
| City + Specialty | MOUNT AIRY + OTOLARYNGOLOGY |
Please comment or provide details below to improve the information on Gwendolyn Field Wagoner.
| 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.