Mountainview Skin Care Pc in Winston Salem - Medical Specialty
Mountainview Skin Care Pc - NPI 1649492232
Mountainview Skin Care Pc is a Medical Specialty in Winston Salem, North Carolina. Mountainview Skin Care Pc practices all healthcare services and medical treatments related to Medical Specialty. The NPI Number for Mountainview Skin Care Pc is 1649492232. The last update date is 2017-11-27.
Mountainview Skin Care Pc'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 Mountainview Skin Care Pc is 127 S Poplar St, Winston Salem, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mountainview Skin Care Pc |
|---|---|
| Address | 127 S Poplar St, Winston Salem, North Carolina |
| Phone Number | 3368938423 |
| Fax Number | 3368938426 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT, |
|---|---|
| Authorized Official Name | Wortman Paul |
| Credentials | M.D. |
| Telephone Number | 3368938423 |
NPI Number Detail
| NPI Number | 1649492232 |
|---|---|
| Provider Enumeration Date | 2007-05-03 |
| Last Updated Date | 2017-11-27 |
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 | Medical Specialty |
|---|---|
| Taxonomy | 261Qm2500X |
| Licence No | 126743 |
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Definition: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8989261 | NC | -- | |
| 89261 | BCBS NC | ||
| 2346511 | NC | MEDICARE PTAN | |
| DF5077 | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Mountainview Skin Care Pc by the Centers for Medicare & Medicaid Services?
The Mountainview Skin Care Pc has been issued the NPI (National Provider Identifier) 1649492232, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Mountainview Skin Care Pc located?
The Mountainview Skin Care Pc is located at 127 S Poplar St, Winston Salem, NC 271013755.
What is Mountainview Skin Care Pc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mountainview Skin Care Pc's area of specialization is Medical Specialty, and the corresponding taxonomy code that categorizes this field of practice is 261Qm2500X.
On what date did the Mountainview Skin Care Pc receive its 1649492232 assignment from the Centers for Medicare & Medicaid Services?
The Mountainview Skin Care Pc was assigned its 1649492232 by the Centers for Medicare & Medicaid Services on 2007-05-03.
When was the information regarding Mountainview Skin Care Pc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Mountainview Skin Care Pc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2017-11-27.