PIEDMONT COSMETIC SURGERY AND DERMATOLOGY CENTER, PA (NPI# 1356440663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356440663 |
| Entity Type | Organization |
| Organization Name | PIEDMONT COSMETIC SURGERY AND DERMATOLOGY CENTER, PA |
| Practice Address |
765 Highland Oaks Dr Suite 100 Winston Salem NC 27103-7101 |
| Practice Telephone | 3367604004 |
| Practice Fax Number | 3367606632 |
| Mailing Telephone | 3367604004 |
| Mailing Fax Number | 3367606632 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2010-01-07 |
| Authorized Official Name | MRS. RENEE A SHANDRA (INSURANCE/BILLING) |
| Authorized Official Telephone | 3367604004 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 400362 | NC | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 890238H | 05 |
| Street Address |
765 HIGHLAND OAKS DR SUITE 100 |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27103-7101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871515866 | Beth Gurley | Physician Assistant | 765 Highland Oaks Dr, Suite 100, Winston Salem, NC 27103-7101 | 2006-07-25 |
| 1134143605 | David M Spencer | Specialist | 765 Highland Oaks Dr, Suite 100, Winston Salem, NC 27103-7101 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124648126 | Kelly Anne Wales | Pharmacist | 3917-a Westpoint Boulevard, Winston-salem, NC 27103 | 2020-04-20 |
| 1386281533 | Elena Mcginty | Nurse Practitioner | 1225 Creekshire Way, Suite 270, Winston Salem, NC 27103 | 2019-12-06 |
| 1992359442 | Madeline Pryor | Pharmacist | 255 Charlois Drive, Winston Salem, NC 27103 | 2019-08-01 |
| 1215599584 | Palmetto Oxygen LLC | Durable Medical Equipment & Medical Supplies | 1100 S Stratford Road, Building B, Suite 420, Winston Salem, NC 27103 | 2019-07-07 |
| 1548734718 | Trivy Johnson | Specialist | 1384-b Westgate Center Dr., Winston Salem, NC 27103 | 2019-01-21 |
| 1447745047 | Novant Health Rehabilitation Hospital of Winston-salem, LLC | Rehabilitation Hospital | 2475 Hillcrest Center Circle, Winston Salem, NC 27103 | 2018-06-26 |
| 1346740206 | Joseph Miller | Physical Therapist | 1605 Westbrook Dr, Suite 103, Winston-salem, NC 27103 | 2018-02-17 |
| 1548779101 | Kristin Blow | Counselor | 3000 Bethesda Pl Ste 202, Winston Salem, NC 27103 | 2017-09-27 |
| 1891213443 | Alisha Dawn Wilson | Occupational Therapy Assistant | 2101 Homestead Hills Drive, Winston Salem, NC 27103 | 2017-09-05 |
| 1588186969 | Brandy Wilson | Social Worker | 153 Cameron Way Circle, Winston Salem, NC 27103 | 2017-07-07 |
| Find all providers in zip 27103 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306460811 | Ashley Davis | Specialist | 765 Highland Oaks Dr Ste 100, Winston Salem, NC 27103-7100 | 2020-06-01 |
| 1588010045 | Hmp Diagnostics, Inc. | Specialist | 3125 Arrowcrest Pl, Winston Salem, NC 27107-3805 | 2016-05-13 |
| 1013399237 | Unified Women's Clinical Research | Specialist | 3015 Maplewood Ave Ste 203, Winston Salem, NC 27103-4075 | 2015-06-24 |
| 1598158289 | Melissa Ferguson Giles | Specialist | 1409 Plaza West Dr Ste D, Winston Salem, NC 27103-1418 | 2015-03-05 |
| 1427305564 | John Modarress | Specialist | 3960 White Hawk Ln, Winston Salem, NC 27106-2666 | 2012-08-08 |
| 1962781047 | Jimmy Wayne Carpenter | Specialist | 4500 Indiana Ave Ste 45, Winston Salem, NC 27106-3269 | 2011-08-08 |
| 1598067001 | Janeice Laster | Specialist | 6020 Meadowdale Dr, Winston Salem, NC 27105-9660 | 2010-12-03 |
| 1790097012 | Shannon D Williams | Specialist | 690 Brookstown Ave, Winston Salem, NC 27101-3730 | 2010-07-02 |
| 1386965788 | Bernadette Pardo Abadiano | Specialist | 223 Everidge Rd., Winston Salem, NC 27103-6307 | 2010-06-20 |
| 1508036740 | Lisa Karen Schenk | Specialist | 801 Timberline Dr, Winston Salem, NC 27101-6243 | 2008-03-04 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27103 |
Please comment or provide details below to improve the information on PIEDMONT COSMETIC SURGERY AND DERMATOLOGY CENTER, PA.
| 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.