DRS J LOVELAND AND R WALKER II, PLLC (NPI# 1669097903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669097903 |
Entity Type | Organization |
Organization Name | DRS J LOVELAND AND R WALKER II, PLLC |
Practice Address |
4622 Country Club Rd Winston Salem NC 27104-3769 |
Mailing Address |
19315 W Catawba Ave Ste 104 Cornelius NC 28031-8651 |
Practice Telephone | 3367653357 |
Mailing Telephone | 7046550630 |
Enumeration Date | 2020-06-12 |
Last Update Date | 2020-06-12 |
Authorized Official Name | DR. JENNIFER ANN LOVELAND (OWNER) |
Authorized Official Telephone | 7049981835 |
Authorized Official Credential | DMD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
Street Address |
4622 COUNTRY CLUB RD |
City | WINSTON SALEM |
State | NC |
Zip Code | 27104-3769 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891771879 | Bruce Douglas Walley | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4622 Country Club Rd, Suite 180, Winston Salem, NC 27104-3770 | 2005-12-21 |
1649715525 | Jessica N Bonham | Physician Assistant | 4622 Country Club Rd, Suite 180, Winston Salem, NC 27104-3769 | 2016-12-30 |
1912373242 | Kyle Taylor Dds Pllc | Dentist | 4622 Country Club Rd, Ste. 280, Winston Salem, NC 27104-3769 | 2015-08-20 |
1427315878 | Novant Medical Group, Inc | Surgery | 4622 Country Club Rd, Suite 180, Winston Salem, NC 27104-3770 | 2012-04-23 |
1831402791 | Lindsay Scales Morgan | Physician Assistant | 4622 Country Club Rd, Suite 180, Winston Salem, NC 27104-3769 | 2010-07-21 |
1184828030 | Samuel Porter Jacks | Surgery | 4622 Country Club Rd, Suite 180, Winston Salem, NC 27104-3769 | 2007-06-13 |
1487868378 | Ronald William Logan Jr. | Dentist | 4622 Country Club Rd, Suite 240, Winston Salem, NC 27104 | 2007-05-09 |
1982790846 | Kyle W Taylor | Dentist | 4622 Country Club Rd, Suite 280, Winston Salem, NC 27104-3769 | 2006-10-05 |
1902909328 | Forsyth Cardiac & Vascular Surgeons, P.a. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4622 Country Club Rd, Suite 180, Winston Salem, NC 27104-3770 | 2006-09-07 |
1104802164 | Joel Clarence Morgan | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4622 Country Club Rd, Suite 180, Winston Salem, NC 27104-3770 | 2005-12-21 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447807664 | Cameron Grant Ford | Psychologist | 614 Country Club Road, Winston-salem, NC 27104 | 2019-08-22 |
1104310374 | Novant Medical Group, Inc. | Internal Medicine | 4937 Old Country Club Rd, Winston Salem, NC 27104 | 2018-06-20 |
1982100509 | Dillon James Magalski | Student in an Organized Health Care Education/Training Program | Piedmont Plaza 1, 1920 West First Street, Wake Forest Baptist Medical Center, Winston-salem, NC 27104 | 2018-04-03 |
1891290144 | Breann M Poling | Student in an Organized Health Care Education/Training Program | Wake Forest Baptist Medical Center, Department Of, Family Medicine Piedmont Plaza I 1920 West First Street, Winston Salem, NC 27104 | 2018-03-28 |
1689178600 | Christopher Vasil | Student in an Organized Health Care Education/Training Program | Piedmont Plaza I, 1920 West First Street, Department of Family Medicine, Winston Salem, NC 27104 | 2018-03-23 |
1407379126 | April Lynn Lowe | Registered Nurse | 940 N Peace Haven Rd, Winstonsalem, NC 27104 | 2017-07-25 |
1164950804 | Donald Joyce | Student in an Organized Health Care Education/Training Program | 1920 West First St, Piedmont Plaza I Building, 3rd Floor, Winston-salem, NC 27104 | 2017-05-25 |
1255867289 | Benjamin Hansen | Pharmacist | 2150 Country Club Rd Ste 300, Winston Salem, NC 27104 | 2017-05-11 |
1770020976 | Jane Reed | Physical Medicine & Rehabilitation | 2627 E Greenbrier Road, Winston Salem, NC 27104 | 2017-01-25 |
1053728261 | Ashraf Alsaedi | Pharmacist | 1659 Stratford Rd Nw, Winston Salem, NC 27104 | 2014-07-20 |
Find all providers in zip 27104 |
Taxonomy Code | 261QD0000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Dental |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114491529 | Kyle Taylor, Dds IIi, Pllc | Clinic/Center | 3015 Maplewood Ave Ste 100, Winston Salem, NC 27103-4075 | 2019-01-18 |
1114294527 | Sarah C. Shoaf, Dds, Med, Ms, PC | Clinic/Center | 1063 W Northwest Blvd, Winston Salem, NC 27101-1104 | 2011-11-30 |
1801053475 | Roger N Reynolds 111 Dds Ms Pa | Clinic/Center | 3809 Forrestgate Dr, Suite A, Winston Salem, NC 27103-2982 | 2008-05-20 |
1518132109 | Robert M. Wilkinson, Jr., D.d.s., P.a. | Clinic/Center | 1086 Whitaker Rd, Winston Salem, NC 27106-4823 | 2008-04-24 |
1902884943 | Dr Matthew K Keider Dds Pa | Clinic/Center | 3610 Westgate Center Cir, Winston Salem, NC 27103-2935 | 2006-01-09 |
1841806387 | Samuel Bartlett Dds, Pllc | Clinic/Center | 3309 Healy Dr Ste B, Winston Salem, NC 27103-1474 | 2020-09-21 |
1184241622 | Jeffrey C. Zackeru, Dmd, Pllc | Clinic/Center | 481 Shepherd St, Winston Salem, NC 27103-1627 | 2020-07-01 |
1437795465 | Wake Forest University Health Sciences | Clinic/Center | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2019-11-25 |
1285120816 | United Health Centers | Clinic/Center | 2101 Peters Creek Pkwy Ste 16-19, Winston Salem, NC 27127-3726 | 2018-07-06 |
1629212113 | Salisbury & Driscoll, D.d.s., P.a. | Clinic/Center | 1551 Westbrook Plaza Dr, Suite 203, Winston Salem, NC 27103-1355 | 2009-04-28 |
Find all providers in WINSTON SALEM |
City | WINSTON SALEM |
Zip Code | 27104 |
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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.