WAKE FOREST UNIVERSITY HEALTH SCIENCES (NPI# 1023212248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023212248 |
| Entity Type | Organization |
| Organization Name | WAKE FOREST UNIVERSITY HEALTH SCIENCES |
| Other Organization Name | COMPREHENSIVE CANCER CTR AT MT AIRY |
| Practice Address |
911 Worth St Mount Airy NC 27030-4459 |
| Mailing Address |
Po Box 344 Winston Salem NC 27102-0344 |
| Practice Telephone | 3367868880 |
| Mailing Telephone | 3367162255 |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2007-07-11 |
| Authorized Official Name | WILLIAM APPLEGATE (INTERIM PRES, WFU HEALTH SCIENCES) |
| Authorized Official Telephone | 3367164424 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | WAKE FOREST UNIVERSITY HEALTH SCIENCES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| Comprehensive Cancer Ctr at Mt Airy | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336619063 | Wake Forest University Health Sciences | Durable Medical Equipment & Medical Supplies | 1814 Westchester Dr Ste 300, High Point, NC 27262-7369 | 2018-11-26 |
| 1083100291 | Wake Forest University Health Sciences | Clinic/Center | 611 N Lindsay St Ste 200, High Point, NC 27262-4318 | 2018-07-11 |
| 1730383555 | Wake Forest University Health Sciences | Durable Medical Equipment & Medical Supplies | 1000 Coffey Ave, North Wilkesboro, NC 28659-3264 | 2007-06-14 |
| 1720282635 | Wake Forest University Health Sciences | Durable Medical Equipment & Medical Supplies | 505 13th St, North Wilkesboro, NC 28659-4067 | 2007-06-13 |
| 1992909865 | Wake Forest University Health Sciences | Durable Medical Equipment & Medical Supplies | Wingate Road, Reynolds Gym-lower Level, Winston-salem, NC 27106-4179 | 2007-06-13 |
| 1689878787 | Wake Forest University Health Sciences | Durable Medical Equipment & Medical Supplies | 380 Knollwood St, Suite 630, Winston Salem, NC 27103-1884 | 2007-06-13 |
| 1801090774 | Wake Forest University Health Sciences | Durable Medical Equipment & Medical Supplies | 1570 Nc 8 & Hwy 89 N, Danbury, NC 27016-7360 | 2007-06-13 |
| 1447454558 | Wake Forest University Health Sciences | Durable Medical Equipment & Medical Supplies | 3314 16th Ave Se Ste 12, Conover, NC 28613-9694 | 2007-06-13 |
| 1548464845 | Wake Forest University Health Sciences | Durable Medical Equipment & Medical Supplies | 690 Parkwood Medical Park, Elkin, NC 28621-2487 | 2007-06-12 |
| 1225139249 | Wake Forest University Health Sciences | Ophthalmology | 1014 N Elm St, Greensboro, NC 27401-1424 | 2006-09-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | WAKE FOREST UNIVERSITY HEALTH SCIENCES | Medical Center Blvd, Winston Salem, NC 27157-0001 |
| Oklahoma Business Registrations | WAKE FOREST UNIVERSITY HEALTH SCIENCES | 1920 West First St, Winston Salem, NC 27104 |
| Street Address |
911 WORTH ST |
| City | MOUNT AIRY |
| State | NC |
| Zip Code | 27030-4459 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124475017 | Jeffrey Lynn Hunter | Podiatrist | 367 S Andy Griffith Pkwy # 200, Mount Airy, NC 27030 | 2016-05-20 |
| 1376984880 | Shari York | Counselor | 847 Westlake Dr, Mount Airy, NC 27030 | 2013-07-12 |
| 1861745069 | Surry-yadkin Residential Services, Inc | Intermediate Care Facility, Mentally Retarded | 1305 Park Dr, Mount Airy, NC 27030 | 2012-10-25 |
| 1346592169 | Debra Lynn Campbell | Physician Assistant | 709 West Independence Blvd., Mount Airy, NC 27030 | 2012-10-03 |
| 1720217680 | Lena Anderson Ferris | Nurse Practitioner | 708 S South St Ste 400, Mount Airy, NC 27030 | 2009-07-13 |
| 1013104520 | Tong Li-masters | Internal Medicine | 830 Rockford Street, Winston Salem, NC 27030 | 2007-09-28 |
| 1336261528 | Thomas R Jackson Dds Pa | Dentist | 1007 Rockford Street, Mount Airy, NC 27030 | 2007-04-06 |
| 1467585422 | Ridgecrest Ritirement Community | Assisted Living Facility | Ridgecrest Retirement, LLC, 1000 Ridgecrest Ln., Mount Airy, NC 27030 | 2007-03-13 |
| 1568516755 | Lou Urmos | Family Medicine | 805 Merita Street, Mt Airy, NC 27030 | 2007-01-23 |
| 1568516391 | Mark Lee Appler | Internal Medicine | 708 S South St Ste 100, Mount Airy, NC 27030 | 2007-01-22 |
| Find all providers in zip 27030 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184148983 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 415 E Ridgeville Blvd, Mount Airy, MD 21771-5217 | 2017-08-02 |
| 1669806170 | Medinnovation Technology Group, Inc. | Durable Medical Equipment & Medical Supplies | 3088 Ballesteras Ct, Mount Airy, MD 21771-8094 | 2013-09-03 |
| 1043445547 | Prosperitas, LLC | Durable Medical Equipment & Medical Supplies | 172 W Independence Blvd, Mount Airy, NC 27030-3566 | 2009-05-27 |
| 1588866065 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 2069 Rockford St, Mount Airy, NC 27030-5203 | 2007-06-05 |
| 1336248525 | Eckerd Corporation | Durable Medical Equipment & Medical Supplies | 114 East Lebanon Street, Mount Airy, NC 27030-3662 | 2006-09-22 |
| 1497851513 | The Optical Place, Inc. | Durable Medical Equipment & Medical Supplies | 447 N Andy Griffith Pkwy Ste 100, Mount Airy, NC 27030-2520 | 2006-09-16 |
| 1285743666 | Rite Aid of Maryland Inc | Durable Medical Equipment & Medical Supplies | 415 East Ridgeville Boulevard, Mount Airy Shopping Center, Mount Airy, MD 21771-5217 | 2006-08-30 |
| 1164449302 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 2241 Rockford St, Mount Airy, NC 27030-5262 | 2006-07-16 |
| 1912924291 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 209 E Ridgeville Blvd, Mount Airy, MD 21771-5257 | 2006-07-16 |
| 1316962962 | The Great Atlantic and Pacific Tea Company Inc | Durable Medical Equipment & Medical Supplies | 504 E Ridgeville Blvd, Mount Airy, MD 21771-5252 | 2006-07-13 |
| Find all providers in MOUNT AIRY | ||||
| City | MOUNT AIRY |
| Zip Code | 27030 |
Please comment or provide details below to improve the information on WAKE FOREST UNIVERSITY HEALTH SCIENCES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.