DR. LINDLY THEROUX (NPI# 1639559883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639559883 |
| Entity Type | Individual |
| Full Name | DR. LINDLY THEROUX |
| Credential | D.O. |
| Practice Address |
1 Medical Center Blvd Winston Salem NC 27157-2038 |
| Mailing Address |
150 Peters Creek Pkwy Apt 344 Winston Salem NC 27101-3687 |
| Practice Telephone | 3367139000 |
| Mailing Telephone | 7577291660 |
| Enumeration Date | 2015-06-03 |
| Last Update Date | 2019-07-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PP0204X |
Emergency Medicine Specialization: Pediatric Emergency Medicine |
201801469 | NC | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2315 Gadsden St, Columbia, SC 292012038 | 7577291660 |
| Street Address |
1 MEDICAL CENTER BLVD |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27157-2038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801495387 | Gillian Grace Winter | Internal Medicine | 1 Medical Center Blvd, Winston Salem, NC 27157-0001 | 2020-10-26 |
| 1679188122 | Nicholas Alexander Perri | Nurse Anesthetist, Certified Registered | 1 Medical Center Blvd, Winston Salem, NC 27157-0001 | 2020-09-11 |
| 1760096069 | Taylor Victoria Ellen Mcghee | Pharmacist | 1 Medical Center Blvd, Winston Salem, NC 27157-0001 | 2020-09-03 |
| 1083223655 | Ruth Barber | Registered Nurse | 1 Medical Center Blvd, Winston Salem, NC 27157-0001 | 2020-07-29 |
| 1619594777 | Elizabeth Grace St. Amand | Internal Medicine | 1 Medical Center Blvd, Winston Salem, NC 27157-0001 | 2020-07-06 |
| 1932725116 | Maxwell Joseph Brenner | Student in an Organized Health Care Education/Training Program | 1 Medical Center Blvd, Winston Salem, NC 27157-0001 | 2020-06-23 |
| 1184249393 | Adaku Anike | Nurse Practitioner | 1 Medical Center Blvd, Winston Salem, NC 27157-0001 | 2020-06-12 |
| 1659996445 | Christie Alexa Smesko | Physician Assistant | 1 Medical Center Blvd, Winston Salem, NC 27157-0001 | 2020-06-08 |
| 1093337081 | Geoffrey Alexander Reid Jones | Physician Assistant | 1 Medical Center Blvd, Winston Salem, NC 27157-6769 | 2020-05-12 |
| 1306468608 | Emmaline Katherine Stilp | Physician Assistant | 1 Medical Center Blvd, Winston Salem, NC 27157-0001 | 2020-05-11 |
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| 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 | 207PP0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Pediatric Emergency Medicine |
| Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/ Board certification is provided by the American Board of Emergency Medicine. Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770756157 | Timothy M Galey | Emergency Medicine | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2008-04-08 |
| 1689881625 | Chad David Mccalla | Emergency Medicine | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2007-05-17 |
| 1922154533 | Michael S Mitchell | Emergency Medicine | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2007-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619932746 | Joanna E York | Emergency Medicine | 1900 Randolph Road, Suite 900, Charlotte, NC 28207-1117 | 2006-04-20 |
| 1558361246 | Douglas L Boertje | Emergency Medicine | 501 S Sharon Amity Rd Ste 300, Charlotte, NC 28211-0035 | 2005-07-26 |
| 1477729556 | Lindsey Chaudoin | Emergency Medicine | 1000 Blythe Blvd, Charlotte, NC 28203-5812 | 2008-05-07 |
| 1093987794 | James Robert Young | Emergency Medicine | 501 S Sharon Amity Rd Ste 300, Charlotte, NC 28211 | 2008-04-02 |
| 1962686089 | Ross Jacob Kuhner | Emergency Medicine | 1200 N Elm St, Greensboro, NC 27401-1004 | 2007-12-26 |
| 1497804603 | Thomas Davis Miller IIi | Emergency Medicine | 501 S Sharon Amity Rd Ste 300, Charlotte, NC 28211-0035 | 2007-01-09 |
| 1043367915 | Cody Garrett Carpenter | Emergency Medicine | 501 S Sharon Amity Rd Ste 300, Charlotte, NC 28211-0035 | 2007-01-04 |
| 1861564965 | Shad M Baab | Emergency Medicine | 1200 N Elm St, Greensboro, NC 27401-1004 | 2006-11-14 |
| 1164508297 | Edwin B Robins | Emergency Medicine | 1638 Owen Drive, Fayetteville, NC 28304-3234 | 2006-10-31 |
| 1083651319 | John W Ringwood | Emergency Medicine | 1900 Randolph Rd, Ste 900, Charlotte, NC 28207-1106 | 2006-06-02 |
| 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.