Wenimar Duldulae Salvador (NPI# 1477668523, PAC ID# 9830346667) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is HEMATOLOGY/ONCOLOGY.
| Nation Provider ID (NPI) | 1477668523 |
| PAC ID by PECOS | 9830346667 |
| Professional Enrollment ID | I20120829000447 |
| Full Name | Wenimar Duldulae Salvador |
| Organization Legal Name | BLUE RIDGE HEALTHCARE MEDICAL GROUP INC |
| Address |
720 Malcolm Blvd Connelly Springs NC 28612-7920 |
| Phone Number | 8285807536 |
| Gender | M |
| Medical School | UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE |
| Graduation Year | 1999 |
| Primary Specialty | HEMATOLOGY/ONCOLOGY |
| Group Practice PAC ID | 9436159712 |
| Number of Group Practice Members | 213 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340075 | CAROLINAS HEALTHCARE SYSTEM-BLUE RIDGE |
| Address | Phone | Organization |
|---|---|---|
| 720 Malcolm Blvd, Connelly Springs, NC 28612-7920 | 8285807536 | BLUE RIDGE HEALTHCARE MEDICAL GROUP INC |
| 2209 S Sterling St, Suite 330, Morgantown, NC 28655-4044 | 8285807536 | BLUE RIDGE HEALTHCARE MEDICAL GROUP INC |
| Organization Legal Name | BLUE RIDGE HEALTHCARE MEDICAL GROUP INC |
| Physicians | 147 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sara Minai Movaghar | Geriatric Medicine | Blue Ridge Healthcare Medical Group Inc | 111 Foothills Dr, Suite B, Morganton, NC 28655-5123 |
| Gregory J Antal | Physical Therapy | Blue Ridge Healthcare Medical Group Inc | 348 Grace Corpening Dr, Marion, NC 28752-5864 |
| Barbara A Nagy | Internal Medicine | Blue Ridge Healthcare Medical Group Inc | 2659 Us 70, Valdese, NC 28690-9517 |
| Lisa T Mangum | Nurse Practitioner | Blue Ridge Healthcare Medical Group Inc | 111 B Foothills Dr, Morganton, NC 28655-5123 |
| Matthew T Mishoe | Gastroenterology | Blue Ridge Healthcare Medical Group Inc | 2209 S Sterling St, Suite 200, Morganton, NC 28655-4091 |
| Emily C Diggs | Physician Assistant | Blue Ridge Healthcare Medical Group Inc | 2134 14th Ave Cir Nw, Hickory, NC 28601-7357 |
| Galen M Edwards | Physician Assistant | Blue Ridge Healthcare Medical Group Inc | 695 W Fleming Dr, Morganton, NC 28655-4450 |
| Lauren O Lippard | Family Medicine | Blue Ridge Healthcare Medical Group Inc | 109 Foothills Dr, Morganton, NC 28655-5152 |
| Carolyn Vance Gordon | Internal Medicine | Blue Ridge Healthcare Medical Group Inc | 117 Foothills Dr, Morganton, NC 28655-5152 |
| Jill N Konkol | Family Medicine | Blue Ridge Healthcare Medical Group Inc | 1766 Connelly Springs Rd, Lenoir, NC 28645-7827 |
| Street Address |
720 MALCOLM BLVD |
| City | CONNELLY SPRINGS |
| State | NC |
| Zip | 28612-7920 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James Ryan Hensley | Certified Registered Nurse Anesthetist (crna) | Anesthetix of Lexington, Pllc | 720 Malcolm Blvd, Valdese, NC 28690-2872 |
| Vicente Jose Hill | Emergency Medicine | The Carolinas Emergency Group, LLC | 720 Malcolm Blvd, Valdese, NC 28690-2872 |
| Cassidy Dee Padgett | Certified Registered Nurse Anesthetist (crna) | Anesthetix of Lexington, Pllc | 720 Malcolm Blvd, Valdese, NC 28690-2872 |
| Brandon K Pfeffer | Emergency Medicine | The Carolinas Emergency Group, LLC | 720 Malcolm Blvd, Valdese, NC 28690-2872 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gloria Vodan | Certified Nurse Midwife (cnm) | Blue Ridge Healthcare Medical Group Inc | 110 Hilltop St, Connelly Springs, NC 28612-7905 |
| City | CONNELLY SPRINGS |
| Zip Code | 28612 |
| Specialty | HEMATOLOGY/ONCOLOGY |
| City + Specialty | CONNELLY SPRINGS + HEMATOLOGY/ONCOLOGY |
Please comment or provide details below to improve the information on Wenimar Duldulae Salvador.
| 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.