PIEDMONT STONE CENTER (NPI# 1528104460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528104460 |
| Entity Type | Organization |
| Organization Name | PIEDMONT STONE CENTER |
| Practice Address |
1370 W D St North Wilkesboro NC 28659-3506 |
| Mailing Address |
Po Box 25866 Winston Salem NC 27114-5866 |
| Practice Telephone | 3366518100 |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | CHARLES H HAUSER (CEO) |
| Authorized Official Telephone | 3367142500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QL0400X |
Clinic/Center Specialization: Lithotripsy |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 890274H | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992841977 | Piedmont Stone Center | Clinic/Center | 1805 Ruin Creek Rd, Henderson, NC 27536-2953 | 2007-01-29 |
| 1649317975 | Piedmont Stone Center | Clinic/Center | Medical Center Blvd, Winston-salem, NC 27157 | 2007-01-30 |
| 1124164041 | Piedmont Stone Center | Clinic/Center | 612 Mocksville Ave, Salisbury, NC 28144-2732 | 2007-01-29 |
| 1578609517 | Piedmont Stone Center | Clinic/Center | 218 Old Mocksville Rd, Statesville, NC 28625-1930 | 2007-01-29 |
| 1780720714 | Piedmont Stone Center | Clinic/Center | 321 Mulberry St Sw, Lenoir, NC 28645-5720 | 2007-01-29 |
| 1740326776 | Piedmont Stone Center | Clinic/Center | 618 S Main St, Reidsville, NC 27320-5020 | 2007-01-29 |
| 1942346903 | Piedmont Stone Center | Clinic/Center | 557 Brookdale Dr, Statesville, NC 28677-4107 | 2007-01-29 |
| 1790821700 | Piedmont Stone Center | Clinic/Center | 1240 Huffman Mill Rd, Burlington, NC 27215-8700 | 2007-01-29 |
| 1902942998 | Piedmont Stone Center | Clinic/Center | 117 E Kings Hwy, Eden, NC 27288-5201 | 2007-01-29 |
| 1659417558 | Piedmont Stone Center | Clinic/Center | 830 Rockford St, Mount Airy, NC 27030-5322 | 2007-01-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | Piedmont Stone Center PLLC | 1605 Westbrook Plaza Dr Ste 203, Winston Salem, NC 27103-2900 |
| Virginia Business Entities | Piedmont Stone Center PLLC | 1605 Westbrook Plaza Dr, Winston Salem, North Carolina 27103 |
| Street Address |
1370 W D ST |
| City | NORTH WILKESBORO |
| State | NC |
| Zip Code | 28659-3506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699778639 | John C Canon | Emergency Medicine | 1370 W D St, North Wilkesboro, NC 28659-3506 | 2005-05-23 |
| 1609428887 | Erica Mathis Shore | Nurse Practitioner | 1370 W D St, North Wilkesboro, NC 28659-3506 | 2019-07-09 |
| 1275028011 | Kaisey Hampton Medley | Physician Assistant | 1370 W D St, North Wilkesboro, NC 28659-3506 | 2018-06-25 |
| 1679007066 | Jenna Kay Baker | Physician Assistant | 1370 W D St, North Wilkesboro, NC 28659 | 2017-04-12 |
| 1548792153 | Blake Briggs | Emergency Medicine | 1370 W D St, North Wilkesboro, NC 28659-3506 | 2017-04-02 |
| 1881053064 | Jeffrey Forsyth | Physician Assistant | 1370 W D St, North Wilkesboro, NC 28659-3506 | 2016-02-17 |
| 1093190795 | Russell Nathan Worthen | Nurse Practitioner | 1370 W D St, North Wilkesboro, NC 28659-3506 | 2015-07-23 |
| 1457731028 | Mitchell Adams | Physician Assistant | 1370 W D St, North Wilkesboro, NC 28659-3506 | 2015-06-09 |
| 1629455258 | Willard Jeffrey Shew | Nurse Anesthetist, Certified Registered | 1370 W D St, North Wilkesboro, NC 28659-3506 | 2015-05-04 |
| 1194116756 | Joshua Isaac Troyer | Nurse Anesthetist, Certified Registered | 1370 W D St, North Wilkesboro, NC 28659-3506 | 2015-02-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013579689 | Lisa C Carr | Social Worker | 1400 Willow Ln # C61-2, North Wilkesboro, NC 28659 | 2019-07-03 |
| 1780141507 | Brenda Barber | Counselor | 200 Northview Plaza, North Wilkesboro, NC 28659 | 2019-02-28 |
| 1639696941 | Lifespan Incorporated | Community/Behavioral Health | 2070 River Road, North Wilkesboro, NC 28659 | 2017-08-28 |
| 1184146011 | Daymark Recovery Services Inc | Community/Behavioral Health | 200 C.c. Wright School Road, Classrooms 126, 127, North Wilkesboro, NC 28659 | 2017-07-12 |
| 1033568258 | Rgm Al Holdings, LLC | Assisted Living Facility | 240 Independence Ave, North Wilkesboro, NC 28659 | 2016-06-08 |
| 1376997999 | Hayden Church | Driver | 29 Boone Trail, North Wilkesboro, NC 28659 | 2016-04-20 |
| 1033563192 | Nathan Grant Davis | Emergency Medicine | Wake Forest Baptist Health- Wilkes Medical Center, 1370 W D St, North Wilkesboro, NC 28659 | 2016-04-14 |
| 1720425408 | Lindsay Brooke Spears | Dentist | 1915 West Park Drive Ste 104, Wilkes Public Health Dental West, North Wilkesboro, NC 28659 | 2013-06-04 |
| 1881983419 | Pruitthealth Hospice, Inc. | Hospice Care, Community Based | 902 West D St, Ste B, North Wilkesboro, NC 28659 | 2011-04-05 |
| 1275838096 | Barium Springs Home for Children | Community Based Residential Treatment Facility, Mental Illness | 517 Boston Ave, North Wilkesboro, NC 28659 | 2011-01-26 |
| Find all providers in zip 28659 | ||||
| Taxonomy Code | 261QL0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Lithotripsy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124278460 | Triangle Lithotripsy Corporation | Clinic/Center | 2601 Oberlin Rd, Suite 100, Raleigh, NC 27608-1319 | 2008-09-23 |
| 1992841977 | Piedmont Stone Center | Clinic/Center | 1805 Ruin Creek Rd, Henderson, NC 27536-2953 | 2007-01-29 |
| 1588718100 | Southeast Stone Center | Clinic/Center | 705 Griffith St Ste 205, Davidson, NC 28036-9307 | 2007-01-22 |
| 1457377954 | Stone Institute of The Carolinas LLC | Clinic/Center | 215 South Main Street, Su 201, Davidson, NC 28036-9307 | 2006-07-15 |
| 1386854321 | Piedmont Stone Center Pllc | Clinic/Center | 250 Hospital Dr, Lexington, NC 27292-6792 | 2007-05-22 |
| 1649317975 | Piedmont Stone Center | Clinic/Center | Medical Center Blvd, Winston-salem, NC 27157 | 2007-01-30 |
| 1124164041 | Piedmont Stone Center | Clinic/Center | 612 Mocksville Ave, Salisbury, NC 28144-2732 | 2007-01-29 |
| 1578609517 | Piedmont Stone Center | Clinic/Center | 218 Old Mocksville Rd, Statesville, NC 28625-1930 | 2007-01-29 |
| 1780720714 | Piedmont Stone Center | Clinic/Center | 321 Mulberry St Sw, Lenoir, NC 28645-5720 | 2007-01-29 |
| 1740326776 | Piedmont Stone Center | Clinic/Center | 618 S Main St, Reidsville, NC 27320-5020 | 2007-01-29 |
| Find all providers with the same taxonomy | ||||
| City | NORTH WILKESBORO |
| Zip Code | 28659 |
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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.