Wake Forest Health Network Llc in Winston Salem - Neurology
Wake Forest Health Network Llc - NPI 1700918877
Wake Forest Health Network Llc is a Neurology in Winston Salem, North Carolina. Wake Forest Health Network Llc practices all healthcare services and medical treatments related to Neurology. The NPI Number for Wake Forest Health Network Llc is 1700918877. The last update date is 2023-11-29.
Wake Forest Health Network Llc's current location address is 145 Kimel Park Dr, Winston Salem, North Carolina. You can contact this provider via phone number 3367686347 and fax number 3367609393. The mailing address for Wake Forest Health Network Llc is 145 Kimel Park Dr, Winston Salem, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Wake Forest Health Network Llc |
|---|---|
| Address | 145 Kimel Park Dr, Winston Salem, North Carolina |
| Phone Number | 3367686347 |
| Fax Number | 3367609393 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SR VP NETW |
|---|---|
| Authorized Official Name | Howerton Mars Russell |
| Credentials | MD |
| Telephone Number | 3367161331 |
NPI Number Detail
| NPI Number | 1700918877 |
|---|---|
| Provider Enumeration Date | 2007-03-12 |
| Last Updated Date | 2023-11-29 |
Provider Mailing Address Detail
| Address | 145 Kimel Park Dr |
|---|---|
| City | Winston Salem |
| State | North Carolina (NC) |
| Post Code | 271036983 |
| Phone Number | 3367686347 |
| Fax Number | 3367609393 |
Provider's Primary Taxonomy Detail
| Speciality | Neurology |
|---|---|
| Taxonomy | 2084N0400X |
|
Definition: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| CC4241 | NC | RRMC | |
| CC4242 | NC | RR MEDICARE | |
| CC5472 | NC | RR MEDICARE | |
| D266 | NC | PARTNERS MEDICARE CHOICE | |
| 016UW | NC | BCBS | |
| CC4243 | NC | RR MEDICARE | |
| CF9200 | NC | RR MEDICARE | |
| 269374 | MAMSI | ||
| B0433 | MEDCOST | ||
| CB8658 | NC | RRMC |
Post Comment/ Review Below
What is the unique identifier code issued to Wake Forest Health Network Llc by the Centers for Medicare & Medicaid Services (CMS)?
The Wake Forest Health Network Llc has been assigned the NPI (National Provider Identifier) 1700918877. 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 Wake Forest Health Network Llc is physically located?
The Wake Forest Health Network Llc is physically situated at the following address: 145 Kimel Park Dr, Winston Salem, NC, 271036983.
What is Wake Forest Health Network Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Wake Forest Health Network Llc is Neurology, and the taxonomy code that categorizes this field of expertise is 2084N0400X.
On what date did the Wake Forest Health Network Llc receive the assignment of its 1700918877 from the Centers for Medicare & Medicaid Services?
The Wake Forest Health Network Llc was issued its 1700918877 by the Centers for Medicare & Medicaid Services on 2007-03-12.
When was the information related to Wake Forest Health Network Llc most recently updated or refreshed?
The details pertaining to the Wake Forest Health Network Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2023-11-29.