Ronald Bernard Shealy in Winston Salem - Otolaryngology
Ronald Bernard Shealy - NPI 1073593943
Ronald Bernard Shealy is a Otolaryngology in Winston Salem, North Carolina. Ronald Bernard Shealy practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for Ronald Bernard Shealy is 1073593943. The last update date is 2012-02-15.
Ronald Bernard Shealy's current location address is 110 Charlois Blvd, Winston Salem, North Carolina. You can contact this provider via phone number 3367683361 and fax number 3367684131. The mailing address for Ronald Bernard Shealy is 110 Charlois Blvd, Winston Salem, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ronald Bernard Shealy |
|---|---|
| Address | 110 Charlois Blvd, Winston Salem, North Carolina |
| Phone Number | 3367683361 |
| Fax Number | 3367684131 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1073593943 |
|---|---|
| Provider Enumeration Date | 2006-01-18 |
| Last Updated Date | 2012-02-15 |
Provider Mailing Address Detail
| Address | 110 Charlois Blvd |
|---|---|
| City | Winston Salem |
| State | North Carolina (NC) |
| Post Code | 271031522 |
| Phone Number | 3367683361 |
| Fax Number | 3367684131 |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngology |
|---|---|
| Taxonomy | 207Y00000X |
| Licence No | 24519 |
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Definition: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head an |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 30636 | NC | MEDCOST | |
| 6525253 | VA | VIRGINIA MEDICAID | |
| 75581 | NC | BLUE CROSS BLUE SHIELD | |
| 40011654 | NC | RAILROAD MEDICARE | |
| 7975581 | NC | -- | |
| 391 | NC | PARTNERS | |
| 1000673 | NC | UNITED HEALTHCARE |
Post Comment/ Review Below
What is the Ronald Bernard Shealy's unique identification number?
The Ronald Bernard Shealy has been assigned the NPI (National Provider Identifier) Number 1073593943 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Ronald Bernard Shealy is located?
The Ronald Bernard Shealy is situated at the following address: 110 Charlois Blvd, Winston Salem, NC, 271031522.
What is the Ronald Bernard Shealy's specialty and taxonomy code?
The Ronald Bernard Shealy's specialty is Otolaryngology, and the corresponding taxonomy code is 207Y00000X.
On what date did Ronald Bernard Shealy receive its 1073593943 assignment from the Centers for Medicare & Medicaid Services?
The Ronald Bernard Shealy was assigned its 1073593943 on 2006-01-18, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Ronald Bernard Shealy, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Ronald Bernard Shealy, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-02-15.