WAKE FOREST HEALTH NETWORK, LLC


Address: 1814 Westchester Dr, Suite 400, High Point, NC 27262-7010
Phone: 3368022130

WAKE FOREST HEALTH NETWORK, LLC (NPI# 1063453553) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063453553
Entity Type Organization
Organization Name WAKE FOREST HEALTH NETWORK, LLC
Other Organization Name CORNERSTONE LABORATORY SERVICES
Practice Address 1814 Westchester Dr
Suite 400
High Point
NC 27262-7010
Mailing Address 1701 Westchester Drive
Suite 850
High Point
NC 27262-7254
Practice Telephone 3368022130
Practice Fax Number 3368022131
Mailing Telephone 3368022536
Mailing Fax Number 3368022534
Enumeration Date 2006-06-08
Last Update Date 2020-10-21
Authorized Official Name RUSSELL MARS HOWERTON (PRESIDENT)
Authorized Official Telephone 3367163346
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208M00000X Hospitalist NC Allopathic & Osteopathic Physicians
N 207Q00000X Family Medicine NC Allopathic & Osteopathic Physicians
N 207RP1001X Internal Medicine
Specialization: Pulmonary Disease
NC Allopathic & Osteopathic Physicians
N 207V00000X Obstetrics & Gynecology NC Allopathic & Osteopathic Physicians
N 207W00000X Ophthalmology NC Allopathic & Osteopathic Physicians
N 207X00000X Orthopaedic Surgery NC Allopathic & Osteopathic Physicians
N 207Y00000X Otolaryngology NC Allopathic & Osteopathic Physicians
N 208000000X Pediatrics NC Allopathic & Osteopathic Physicians
N 2084N0400X Psychiatry & Neurology
Specialization: Neurology
NC Allopathic & Osteopathic Physicians
N 208600000X Surgery NC Allopathic & Osteopathic Physicians
N 208800000X Urology NC Allopathic & Osteopathic Physicians
Y 291U00000X Clinical Medical Laboratory Laboratories

Other Provider Identifier

State Issuer Identifier Type Code
NC RAILROAD MEDICARE CF9200 01
NC 7001156 05
NC RAILROAD MEDICARE CC4242 01
NC RAILROAD MEDICARE CC4243 01
NC RAILROAD MEDICARE CC6608 01
NC RAILROAD MEDICARE CC4241 01
NC RAILROAD MEDICARE CC5472 01
NC RAILROAD MEDICARE CB8658 01
NC RAILROAD MEDICARE CD6614 01

Other Provider/Organization Names

Other Name Type Code
Cornerstone Laboratory Services Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1003114992 Wake Forest Health Network, LLC Ophthalmology 1311 N Elm St, Greensboro, NC 27401-6305 2011-03-02
1700901436 Wake Forest Health Network, LLC Family Medicine 4515 Premier Dr, Suite 201, High Point, NC 27265-8357 2007-03-20

Office Location

Street Address 1814 WESTCHESTER DR
SUITE 400
City HIGH POINT
State NC
Zip Code 27262-7010

Providers in the same location

NPI Name Taxonomy Address Enumeration
1518965524 Alehegn Asres Family Medicine 1814 Westchester Dr, Suite 301, High Point, NC 27262-7299 2005-07-13
1386169266 Lena Ee Nurse Practitioner 1814 Westchester Dr, High Point, NC 27262-7299 2017-08-11
1003365321 Kinsley C Coley Physician Assistant 1814 Westchester Dr, Suite 101, High Point, NC 27262-7299 2016-09-28
1336503036 Vincent J Costella Physician Assistant 1814 Westchester Dr, Ste. 301, High Point, NC 27262-7299 2016-04-08
1982062758 Teah Nakesha Shante' Doles-johnson Nurse Practitioner 1814 Westchester Dr, Ste 301, High Point, NC 27262-7299 2016-02-08
1831567445 Cornerstone Health Care, LLC Internal Medicine 1814 Westchester Dr, Ste 302, High Point, NC 27262-7299 2015-09-14
1124495353 Christi Fields Morgan Nurse Practitioner 1814 Westchester Dr, Ste 301, High Point, NC 27262-7299 2015-08-24
1508250523 Jennifer M Burnette Physician Assistant 1814 Westchester Dr, Suite 101, High Point, NC 27262-7299 2015-03-27
1760887640 Cornerstone Health Care Pa Non-Pharmacy Dispensing Site 1814 Westchester Dr, Suite 301, High Point, NC 27262-7299 2014-11-04
1194133108 Brittany N Axner Physician Assistant 1814 Westchester Dr, Suite 101, High Point, NC 27262-7299 2014-07-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821623620 Lane and Associates Xxxviii Dds Pa Dentist 101 Northpoint Avenue, High Point, NC 27262 2020-03-12
1043869936 Norma Mechelle Cox Technician 1145 Hawick Dr, High Point, NC 27262 2019-09-04
1417514910 Jennifer A. Loveland Dmd II Pllc Dentist 1007 Phillips Avenue, Suite 103, High Point, NC 27262 2019-05-21
1982175196 World Relief Corp of National Association of Evangelicals Marriage & Family Therapist 155 Northpoint Avenue, Suite 102, High Point, NC 27262 2018-12-16
1538679907 Zackary Daniel Rogers Physician Assistant 1814 Westchester Dr #301, High Point, NC 27262 2017-10-11
1184164162 Publix North Carolina, Lp Durable Medical Equipment & Medical Supplies 2005 N Main St., Suite 101, High Point, NC 27262 2017-02-24
1225483951 Randall Godette Physician Assistant 611 Lindsay Street, High Point, NC 27262 2016-05-02
1336537356 Optics, Inc. Durable Medical Equipment & Medical Supplies 1105 Lindsay Street, High Point, NC 27262 2014-12-29
1871902346 Isha Bangura Counselor 910 Mill Ave., High Point, NC 27262 2014-08-08
1831478833 Jenny Susan Mason Specialist/Technologist 922 West College Dr, High Point, NC 27262 2011-08-08
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Taxonomy Information

Taxonomy Code 291U00000X
Grouping Laboratories
Classification Clinical Medical Laboratory

Taxonomy Definition

(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235375445 Regional Physicians LLC Clinical Medical Laboratory 404 Westwood Ave Ste 101, High Point, NC 27262 2008-12-18
1356391114 High Point Health Care Ventures Clinical Medical Laboratory 222 W. Ray Street, Suite 102, High Point, NC 27262 2006-05-11
1396089033 Laboratory Corporation of America Holdings Clinical Medical Laboratory 3750 Admiral Dr Ste 101, High Point, NC 27265-1556 2012-11-19
1316061880 Cornerstone Health Care Pa Clinical Medical Laboratory 1814 Westchester Drive, Suite 301, High Point, NC 27262-7369 2007-03-19

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1659987170 Wakemed Clinical Medical Laboratory Wakemed Raleigh Reference, 3000 New Bern Avenue, Raleigh, NC 27610-1295 2020-09-21
1295341006 Laboratory Corporation of America Holdings Clinical Medical Laboratory 125 Queens Rd Ste 370, Charlotte, NC 28204-3215 2020-09-17
1801407697 Alicia Shook Clinical Medical Laboratory 417 Biltmore Ave # Stu4c, Asheville, NC 28801-4501 2020-08-14
1861016594 Zenith Labs LLC Clinical Medical Laboratory 3000 Bethesda Pl Ste 201, Winston Salem, NC 27103-3324 2020-05-28
1730708215 Trucore Laboratories, LLC Clinical Medical Laboratory 608 W King St Ste 2, Kings Mountain, NC 28086-3358 2020-04-14
1962039867 Laboratory Corporation of America Clinical Medical Laboratory 5450 Millstream Rd, Mc Leansville, NC 27301-9697 2020-03-23
1538799358 Scipher Medicine Corporation Clinical Medical Laboratory 4134 S Alston Ave Ste 104, Durham, NC 27713-1870 2020-01-21
1225685613 Vero Diagnostics Clinical Medical Laboratory 1095 Investment Blvd, Apex, NC 27502-1799 2019-08-21
1538716113 Karany's Veracity Company,llc Clinical Medical Laboratory 1816 E Arbors Dr Ste 440, Charlotte, NC 28262-2666 2019-08-20
1487212551 Quest Diagnostics Clinical Laboratories Inc Clinical Medical Laboratory 4380 Federal Dr Ste 100, Greensboro, NC 27410-8149 2019-06-03
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Competitor

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City HIGH POINT
Zip Code 27262

Improve Information

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Dataset Information

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.

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