Tyler Stanley Woodrum (NPI# 1124415955, PAC ID# 9032429253) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1124415955 |
| PAC ID by PECOS | 9032429253 |
| Professional Enrollment ID | I20170908002059 |
| Full Name | Tyler Stanley Woodrum |
| Organization Legal Name | WAKE FOREST UNIVERSITY HEALTH SCIENCES |
| Address |
250 Hospital Dr Lexington NC 27292-6792 |
| Phone Number | 3367162734 |
| Gender | M |
| Medical School | BOWMAN GRAY SCHOOL OF MEDICINE OF WAKE FOREST UNIVERSITY |
| Graduation Year | 2015 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 4486564952 |
| Number of Group Practice Members | 1931 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340039 | IREDELL MEMORIAL HOSPITAL INC |
| 340096 | LEXINGTON MEMORIAL HOSPITAL INC |
| 340051 | WATAUGA MEDICAL CENTER |
| 340064 | WILKES REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 250 Hospital Dr, Lexington, NC 27292-6792 | 3367162734 | WAKE FOREST UNIVERSITY HEALTH SCIENCES |
| 557 Brookdale Dr, Statesville, NC 28677-4107 | 3367162255 | WAKE FOREST EMERGENCY PROVIDERS |
| Organization Legal Name | WAKE FOREST UNIVERSITY HEALTH SCIENCES |
| Physicians | 1979 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brittany Joyce Kemp | Certified Nurse Midwife (cnm) | Wake Forest University Health Sciences | 2341 Lewisville Clemmons Rd, Clemmons, NC 27012-8905 |
| Purvi Dilip Surti | Nurse Practitioner | Wake Forest University Health Sciences | 611 N Lindsay St, Suite 200, High Point, NC 27262-4318 |
| Luke Daniel Spencer | Family Medicine | Wake Forest University Health Sciences | 3020 Bonbrook Dr, Winston Salem, NC 27106-3020 |
| Randall Stephan Conrad | Internal Medicine | Wake Forest University Health Sciences | 250 Hospital Dr, Lexington, NC 27292-6792 |
| Jessica Alexis Savas | Dermatology | Wake Forest University Health Sciences | 4618 Country Club Rd, Winston Salem, NC 27104-3520 |
| Kaila Renea Haskins | Nurse Practitioner | Wake Forest University Health Sciences | 618 S Main St, Reidsville, NC 27320-5020 |
| Kandi Byrd Sams | Nurse Practitioner | Wake Forest University Health Sciences | 799 Hickory Tree Rd, Suite B, Winston-salem, NC 27127-9243 |
| Cory Aaron Alcon | Physical Therapy | Wake Forest University Health Sciences | 755 Highland Oaks Dr, Suite 240, Winston Salem, NC 27103-7106 |
| Brandy Lanette Younts-davis | Nurse Practitioner | Wake Forest University Health Sciences | 306 Westwood Ave, Suite 401, High Point, NC 27262-4342 |
| David A Crowe | Family Medicine | Wake Forest University Health Sciences | 171 W Wilkes Medical Ctr Rd, Ferguson, NC 28624-8925 |
| Street Address |
250 HOSPITAL DR |
| City | LEXINGTON |
| State | NC |
| Zip | 27292-6792 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Randall Stephan Conrad | Internal Medicine | Wake Forest University Health Sciences | 250 Hospital Dr, Lexington, NC 27292-6792 |
| Shannon N Mumma | Emergency Medicine | Wake Forest University Health Sciences | 250 Hospital Dr, Lexington, NC 27292-6792 |
| Justin Kenneth Brooten | Emergency Medicine | Wake Forest University Health Sciences | 250 Hospital Dr, Lexington, NC 27292-6792 |
| Daniel P Floyd | Emergency Medicine | Wake Forest University Health Sciences | 250 Hospital Dr, Lexington, NC 27292-6792 |
| Nicholas Paul Petit | Emergency Medicine | Wake Forest University Health Sciences | 250 Hospital Dr, Lexington, NC 27292-6792 |
| Ann S Batista | Emergency Medicine | Wake Forest University Health Sciences | 250 Hospital Dr, Lexington, NC 27292-6792 |
| Pam Wofford | Certified Registered Nurse Anesthetist (crna) | Wake Forest University Health Sciences | 250 Hospital Dr, Lexington, NC 27292-6792 |
| Kelsey Ruth Johnson | Certified Registered Nurse Anesthetist (crna) | Wake Forest University Health Sciences | 250 Hospital Dr, Lexington, NC 27292-6792 |
| Ryan A Holton | Certified Registered Nurse Anesthetist (crna) | Wake Forest University Health Sciences | 250 Hospital Dr, Lexington, NC 27292-6792 |
| Oanh N Fielding | Certified Registered Nurse Anesthetist (crna) | Wake Forest University Health Sciences | 250 Hospital Dr, Lexington, NC 27292-6792 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven J Brodar | Chiropractic | 1400 S Main St, Lexington, NC 27292-2840 | |
| Donna G Shew | Clinical Social Worker | Daymark Recovery Services Inc | 1104 A S Main St, Lexington, NC 27292-3134 |
| Ilanti D Lazar | Clinical Social Worker | Daymark Recovery Services Inc | 1104 A S Main St, Lexington, NC 27292-3134 |
| Jean N Boulet | Clinical Social Worker | Daymark Recovery Services Inc | 1104 A S Main St, Lexington, NC 27292-3134 |
| Sandra K Pontius | Nurse Practitioner | Daymark Recovery Services Inc | 1104 A S Main St, Lexington, NC 27292-3134 |
| Geri L Snoke | Psychiatry | Daymark Recovery Services Inc | 1104 A S Main St, Lexington, NC 27292-3134 |
| Anita Arora | Psychiatry | Daymark Recovery Services Inc | 1104 A S Main St, Lexington, NC 27292-3134 |
| Marilyn Granger | Psychiatry | Daymark Recovery Services Inc | 1104 A S Main St, Lexington, NC 27292-3134 |
| Linda J Wanner | Nurse Practitioner | Daymark Recovery Services Inc | 1104 A S Main St, Lexington, NC 27292-3134 |
| Sarah Peters | Psychiatry | Daymark Recovery Services Inc | 1104 A S Main St, Lexington, NC 27292-3134 |
| Find all physicians in zip 27292 | |||
| City | LEXINGTON |
| Zip Code | 27292 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | LEXINGTON + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Tyler Stanley Woodrum.
| 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.