Paul Douglass Wortman in Winston Salem - Dermatology

Paul Douglass Wortman - NPI 1932108461

Paul Douglass Wortman is a Dermatology in Winston Salem, North Carolina. Paul Douglass Wortman practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Paul Douglass Wortman is 1932108461. The last update date is 2019-07-24.

Paul Douglass Wortman's current location address is 127 S Poplar St, Winston Salem, North Carolina. You can contact this provider via phone number 3368938423 and fax number 3368938426. The mailing address for Paul Douglass Wortman is 127 S Poplar St, Winston Salem, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Paul Douglass Wortman
Address 127 S Poplar St, Winston Salem, North Carolina
Phone Number 3368938423
Fax Number 3368938426
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1932108461
Provider Enumeration Date 2005-07-18
Last Updated Date 2019-07-24

Provider Mailing Address Detail

Address 127 S Poplar St
City Winston Salem
State North Carolina (NC)
Post Code 271013755
Phone Number 3368938423
Fax Number 3368938426

Provider's Primary Taxonomy Detail

Speciality Dermatology
Taxonomy 207N00000X
Licence No 35791
Definition:
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
300482 UNITED HEALTHCARE
P00371225 RAILROAD MEDICARE
89261 NC BCBS NC
E2611 MEDCOST
4521 PARTNERS
6309395 CIGNA
8989261 NC --
5975022 AETNA

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FAQs about Paul Douglass Wortman

What is the unique identifier code issued to Paul Douglass Wortman by the Centers for Medicare & Medicaid Services (CMS)?

The Paul Douglass Wortman has been assigned the NPI (National Provider Identifier) 1932108461. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete street address where Paul Douglass Wortman is physically located?

The Paul Douglass Wortman is physically situated at the following address: 127 S Poplar St, Winston Salem, NC, 271013755.

What is the Paul Douglass Wortman's area of specialization and corresponding taxonomy classification?

The Paul Douglass Wortman's specialty field is Dermatology, and it falls under the taxonomy code 207N00000X, which categorizes healthcare providers based on their specialties.

When did Paul Douglass Wortman receive its 1932108461 assignment?

The Paul Douglass Wortman was assigned its 1932108461 on 2005-07-18, which is the date when this unique identifier was issued to the organization.

As of what date was the information regarding Paul Douglass Wortman, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Paul Douglass Wortman, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2019-07-24.

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