JENNIFER L HANNUM (NPI# 1639273634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639273634 |
| Entity Type | Individual |
| Full Name | JENNIFER L HANNUM |
| Credential | MD |
| Practice Address |
Wake Forest University Health Sciences Medical Center Boulevard Winston Salem NC 27157-0001 |
| Mailing Address |
Po Box 344 Winston-salem NC 27102-0001 |
| Practice Telephone | 3367162255 |
| Mailing Telephone | 3367162255 |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2010-08-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 2007-01370 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | AETNA | 9772074 | 01 |
| SC | Q0137D | 05 | |
| VA | 1639273634 | 05 | |
| NC | MEDCOST | 202020 | 01 |
| NC | PARTNERS | 810636 | 01 |
| NC | BCBS | 146F4 | 01 |
| NC | 5908092 | 05 |
| Street Address |
WAKE FOREST UNIVERSITY HEALTH SCIENCES MEDICAL CENTER BOULEVARD |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27157-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174872576 | Vipul Aggarwal | Internal Medicine | Wake Forest University Health Sciences, Medical Center Blvd, Winston Salem, NC 27157-0001 | 2012-08-31 |
| 1962798165 | Wake Forest Baptist Health | General Acute Care Hospital | Wake Forest University Health Sciences, Medical Center Blvd, Winston Salem, NC 27157-0001 | 2011-06-26 |
| 1982930368 | Ali Mofidi | Orthopaedic Surgery | Wake Forest University Health Sciences, Winston Salem, NC 27157-0001 | 2009-10-20 |
| 1265679138 | Iqbal Singh | Urology | Wake Forest University Health Sciences, Medical Center Boulevard, Department of Urology, Winston Salem, NC 27157 | 2009-01-14 |
| 1508040213 | William Colin Gallahan | Internal Medicine | Wake Forest University Health Sciences, Medical Center Boulevard, Winston Salem, NC 27157-0001 | 2007-12-18 |
| 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 | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811409642 | Novant Medical Group, Inc. | Emergency Medicine | 190 Kimel Park Dr Ste 125, Winston Salem, NC 27103-6946 | 2017-11-02 |
| 1255864377 | Sarah M Harris | Emergency Medicine | Wfbmc Department of Emergency Medicine, Medical Center Boulevard, Winston Salem, NC 27157-7438 | 2017-04-05 |
| 1306292768 | Michael Edward Dean | Emergency Medicine | Emergency Medicine Department, Medical Center Blvd, Winston Salem, NC 27157-0001 | 2016-05-04 |
| 1013361831 | Adam Scott Curatolo | Emergency Medicine | Emergency Medicine Department Meads Hl Fl 2, Wake Forest Baptist Medical Center Medical Center Blvd, Winston Salem, NC 27157-3754 | 2016-04-18 |
| 1104280585 | John Michael Butler II | Emergency Medicine | Gme Wake Forest Baptist Medical Ctr, Medical Center Blvd, Winston Salem, NC 27157-0001 | 2016-04-11 |
| 1578982609 | Jonathan Tyler Jaffe | Emergency Medicine | 1 Medical Center Boulevard Department of Anesthesia, Winston Salem, NC 27157-3676 | 2014-04-16 |
| 1568724607 | Matthew Gentry | Emergency Medicine | Wake Forest Baptist Hospital, 1 Medical Center Boulevard, Winston Salem, NC 27157-0001 | 2012-06-14 |
| 1003178856 | Julio Miguel Arrieta | Emergency Medicine | Wake Forest Babtist Medical Ctr, Medical Center Blvd, Winston Salem, NC 27157-0001 | 2012-06-07 |
| 1376838789 | Megan Elizabeth Docherty | Emergency Medicine | Emergency Medicine Wake Ctr, Medical Center Blvd., Winston Salem, NC 27157-0001 | 2011-06-14 |
| 1437363199 | James Scott Burrow | Emergency Medicine | 409 Lawndale Dr, Winston Salem, NC 27104-4015 | 2007-05-10 |
| Find all providers in WINSTON SALEM | ||||
| 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.