PATRICK P KOTY (NPI# 1487793204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487793204 |
| Entity Type | Individual |
| Full Name | PATRICK P KOTY |
| Credential | PHD |
| Practice Address |
Medical Center Blvd Winston-salem NC 27157-0001 |
| Mailing Address |
Po Box 344 Winston Salem NC 27102-0344 |
| Practice Telephone | 3367162255 |
| Mailing Telephone | 3367162255 |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 170100000X | Medical Genetics, Ph.D. Medical Genetics | Other Service Providers | ||
| X | 207SC0300X |
Medical Genetics Specialization: Clinical Cytogenetic |
99079 | NC | Allopathic & Osteopathic Physicians |
| X | 207SG0203X |
Medical Genetics Specialization: Clinical Molecular Genetics |
2002055 | NC | Allopathic & Osteopathic Physicians |
| Street Address |
MEDICAL CENTER BLVD |
| City | WINSTON-SALEM |
| State | NC |
| Zip Code | 27157-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013365758 | Trevor James Tyner | Student in an Organized Health Care Education/Training Program | Medical Center Blvd, Winston-salem, NC 27103 | 2016-06-02 |
| 1245685866 | Megan Brock | Student in an Organized Health Care Education/Training Program | Medical Center Blvd, Wake Forest Baptist Medical Center, Dept of Pediatrics, Winston-salem, NC 27157 | 2016-05-02 |
| 1871961573 | Daniel Smith | Nurse Anesthetist, Certified Registered | Medical Center Blvd, Winston-salem, NC 27157-0001 | 2015-09-11 |
| 1265819692 | Maria-carolina Orbay | Student in an Organized Health Care Education/Training Program | Medical Center Blvd, Winston-salem, NC 27103 | 2015-05-06 |
| 1053707307 | Brent Frederick | Hospitalist | Medical Center Blvd, Winston-salem, NC 27157 | 2015-04-14 |
| 1720491889 | Tiffany Earle | Student in an Organized Health Care Education/Training Program | Medical Center Blvd, Winston-salem, NC 27103 | 2014-06-06 |
| 1881822856 | Christopher James Edwards | Anesthesiology | Medical Center Blvd, Wake Forest University, Baptist Medical Center, Winston-salem, NC 27157 | 2009-06-29 |
| 1245408988 | Archana Manoj Shah | Anesthesiology | Medical Center Blvd, Winston-salem, NC 27157-0001 | 2008-02-15 |
| 1962684514 | Christina Natale Condon | Nurse Practitioner | Medical Center Blvd, Winston-salem, NC 27157-0001 | 2007-12-05 |
| 1790966356 | Hirenkumar Babubhai Patel | Pediatrics | Medical Center Blvd, Winston-salem, NC 27157-1184 | 2007-11-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255960241 | Alexandra Marie Balmaceda | Student in an Organized Health Care Education/Training Program | Wake Forest Baptist Medical Center Pathology Dept, #1 Medical Center Blvd., Winston-salem, NC 27157 | 2020-04-02 |
| 1164916680 | Jorie Elizabeth Gatts | Student in an Organized Health Care Education/Training Program | Wake Forest Baptist Medical Department of Pediatrics, Winston Salem, NC 27157 | 2018-06-18 |
| 1932606555 | Alexi Rae Ellington Webb | Student in an Organized Health Care Education/Training Program | Wake Forest School of Medicine, Dept of Psychiatry, Medical Center Blvd, Winston Salem, NC 27157 | 2018-04-10 |
| 1851896674 | Wasim Muhammad | Student in an Organized Health Care Education/Training Program | Wake Forest School of Medicine Dept. of Psychiatry, Medical Center Blvd, Winston Salem, NC 27157 | 2018-03-25 |
| 1336643535 | Phillip Martin Kostelic | Student in an Organized Health Care Education/Training Program | Anesthesiology - Wake Forest Baptist Medical Center, 1 Medical Center Blvd, Winston-salem, NC 27157 | 2018-03-21 |
| 1831693324 | Aleah Bond | Student in an Organized Health Care Education/Training Program | Anesthesiology Wake Forest Baptist Medical Center, Medical Center Boulevard, Winston-salem, NC 27157 | 2018-03-20 |
| 1134644859 | Ilan Binyamin Klein | Urology | Wake Forest Baptist Health, Department of Urology, Medical Center Boulevard, Winston-salem, NC 27157 | 2017-08-03 |
| 1023467529 | Edward John Doyle IIi | Student in an Organized Health Care Education/Training Program | Wake Forest School of Medicine Dept. of Otolaryngology, Watlington Hall 4th Fl. Medical Center Boulevard, Winston-salem, NC 27157 | 2016-06-07 |
| 1477917888 | Jordan Mae Burner | Student in an Organized Health Care Education/Training Program | Graduate Medical Education Office, Wake Forest Baptist Medical Center, Medical Center Blvd, Winston-salem, NC 27157 | 2016-04-12 |
| 1174900476 | Kate Elise Winterbottom | Speech-Language Pathologist | 4 Janeway Medical Center Blvd, Hearing and Speech, Winston Salem, NC 27157 | 2015-05-06 |
| Find all providers in zip 27157 | ||||
| Taxonomy Code | 170100000X |
| Grouping | Other Service Providers |
| Classification | Medical Genetics, Ph.D. Medical Genetics |
| A medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program, and serves as a consultant to medical and dental specialists. |
| Notes: A general certificate was first issued by ABMS in 1982. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255488649 | Mark Pettenati | Medical Genetics, Ph.D. Medical Genetics | Medical Center Blvd, Winston-salem, NC 27157-0001 | 2007-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881799823 | Hiba Risheg | Medical Genetics, Ph.D. Medical Genetics | 201 Sage Rd Ste 300, Chapel Hill, NC 27514-6510 | 2006-09-14 |
| 1215044813 | Joe Mcknitt Alexander Jr. | Medical Genetics, Ph.D. Medical Genetics | 2911 Breezewood Ave Ste 201, Fayetteville, NC 28303 | 2006-08-23 |
| 1285740142 | Powells Medical Facility | Medical Genetics, Ph.D. Medical Genetics | 201 W Clinton St, Roseboro, NC 28382 | 2006-08-22 |
| 1013945732 | Siby Sebastian | Medical Genetics, Ph.D. Medical Genetics | 4425 Ben Franklin Blvd, Durham, NC 27704-2147 | 2006-06-29 |
| 1487622452 | Jack Tarleton | Medical Genetics, Ph.D. Medical Genetics | 267 Mcdowell St, Fullerton Genetics Laboratory, Asheville, NC 28803-2606 | 2006-03-08 |
| 1104890615 | Twanna Belinda Dixon-cherry | Medical Genetics, Ph.D. Medical Genetics | 118 W Martin Luther King Jr Dr, Washington, NC 27889-4906 | 2006-02-14 |
| 1578533360 | Megan M Harlan | Medical Genetics, Ph.D. Medical Genetics | 103 Mason Farm Road, Mbrb, Suite 4200, Campus Box 7264, Chapel Hill, NC 27599-0001 | 2006-01-24 |
| 1275510695 | Rapha Health System Inc | Medical Genetics, Ph.D. Medical Genetics | 1905 Skibo Rd, Suite 100, Fayetteville, NC 28314-1518 | 2005-12-28 |
| 1831194976 | Moon S Choi - Chung | Medical Genetics, Ph.D. Medical Genetics | 74 Eastgate Dr, Sylva, NC 28779-5171 | 2005-06-16 |
| 1811991342 | Myra Jane Hall | Medical Genetics, Ph.D. Medical Genetics | 210 Magnolia Square Court, Aberdeen, NC 28315-2226 | 2005-06-13 |
| Find all providers with the same taxonomy | ||||
| City | WINSTON-SALEM |
| Zip Code | 27157 |
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| 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.