KEVIN DAVID HIATT


Address: Medical Center Blvd, Winston Salem, NC 27157-0001
Phone: 3367162011

KEVIN DAVID HIATT (NPI# 1548689789) 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) 1548689789
Entity Type Individual
Full Name KEVIN DAVID HIATT
Credential MD
Practice Address Medical Center Blvd
Winston Salem
NC 27157-0001
Practice Telephone 3367162011
Enumeration Date 2014-04-15
Last Update Date 2020-08-20
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085N0700X Radiology
Specialization: Neuroradiology
2019-00268 NC Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address MEDICAL CENTER BLVD
City WINSTON SALEM
State NC
Zip Code 27157-0001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1811990815 Gary Lee Ray Registered Nurse Medical Center Blvd, Winston Salem, NC 27157-0001 2005-05-23
1881295418 Alan Townes Grizzard Nurse Practitioner Medical Center Blvd, Winston Salem, NC 27157-0001 2020-11-02
1003421751 Nicholas Ryan Tuttle Nurse Anesthetist, Certified Registered Medical Center Blvd, Winston Salem, NC 27157-0001 2020-09-10
1356956122 Caitlin Marie Clement Nurse Anesthetist, Certified Registered Medical Center Blvd, Winston Salem, NC 27103 2020-09-09
1376154591 Lori Sansone Flores Nurse Practitioner Medical Center Blvd, Winston Salem, NC 27157-0001 2020-08-11
1821609330 Hannah Carey Walker Physician Assistant Medical Center Blvd, Winston Salem, NC 27157-0001 2020-08-10
1447876883 Raveena Mahesh Chhabria Student in an Organized Health Care Education/Training Program Medical Center Blvd, Winston Salem, NC 27157-0001 2020-06-22
1780205930 Jason Chin Student in an Organized Health Care Education/Training Program Medical Center Blvd, Winston Salem, NC 27157-1087 2020-04-29
1972122885 Bryanna Dean Vesely Student in an Organized Health Care Education/Training Program Medical Center Blvd, Winston Salem, NC 27157-0001 2020-04-10
1679102909 Ameen Barghi Student in an Organized Health Care Education/Training Program Medical Center Blvd, Winston Salem, NC 27157-2803 2020-04-07
Find all providers in the same location

Providers in the same zip code

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 Information

Taxonomy Code 2085N0700X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Neuroradiology

Taxonomy Definition

A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295155695 Frederick Scott Jones Radiology Medical Center Blvd, Winston Salem, NC 27157-2818 2014-04-24
1134546930 Edward Lopez II Radiology 3010 Trenwest Dr, Winston Salem, NC 27103-3208 2014-03-19
1790041861 Marc Benayoun Radiology Medical Center Blvd, Winston Salem, NC 27157-2621 2012-04-03
1831325372 Patrick Allen Brown Radiology Medical Center Blvd, Winston Salem, NC 27157-2333 2009-06-10
1619103462 Brian Mcelhinney Radiology 3010 Trenwest Dr, Winston Salem, NC 27103-3208 2009-06-08
1740448497 Michael A. Reardon Radiology 3155 Maplewood Ave, Winston Salem, NC 27103-3903 2008-05-29
1902828429 Morry D. Brown Radiology 1900 S Hawthorne Rd, Winston Salem, NC 27103-3913 2006-07-24
1609806009 William R Patton Radiology 3010 Trenwest Dr, Winston Salem, NC 27103-3208 2006-07-03
1184667651 Annette Johnson Radiology Medical Center Blvd, Winston Salem, NC 27157-0001 2006-06-13
1144276965 Donald V Heck Radiology 1900 S Hawthorne Rd, Winston Salem, NC 27103-3913 2006-05-25
Find all providers in WINSTON SALEM

Competitor

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City WINSTON SALEM
Zip Code 27157

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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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