WAKE FOREST BAPTIST IMAGING, LLC (NPI# 1700490232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700490232 |
| Entity Type | Organization |
| Organization Name | WAKE FOREST BAPTIST IMAGING, LLC |
| Other Organization Name | WAKE FOREST BAPTIST IMAGING KERNERSVILLE |
| Practice Address |
861 Old Winston Rd Ste 105 Kernersville NC 27284-7141 |
| Mailing Address |
Po Box 1000, Dept 842 Memphis TN 38148-0842 |
| Practice Telephone | 3367655722 |
| Practice Fax Number | 3367655723 |
| Mailing Telephone | 6152612306 |
| Mailing Fax Number | 8555883545 |
| Enumeration Date | 2020-09-02 |
| Last Update Date | 2020-09-09 |
| Authorized Official Name | WILLIAM PERRY BAKER (SECRETARY) |
| Authorized Official Telephone | 6155506044 |
| Is Organization Subpart | Y |
| Parent Organization Name | WAKE FOREST BAPTIST IMAGING, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Wake Forest Baptist Imaging Kernersville | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972763357 | Wake Forest Baptist Imaging, LLC | Radiology | 265 Executive Park Blvd, Winston Salem, NC 27103-1503 | 2008-06-10 |
| Street Address |
861 OLD WINSTON RD STE 105 |
| City | KERNERSVILLE |
| State | NC |
| Zip Code | 27284-7141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013549047 | Katie Lee Sherman | Student in an Organized Health Care Education/Training Program | 9372 Pumpkin Ridge Rd, Kernersville, NC 27284 | 2020-02-07 |
| 1861049231 | Bethany Medical Center | Internal Medicine | 975 Hwy 66 S, Kernersville, NC 27284 | 2019-08-21 |
| 1114490810 | Lindsey Sarvis | Social Worker | 2301 Lake Shore Reserve Court, Kernersville, NC 27284 | 2019-01-04 |
| 1073091088 | Gastroenterology Associates of The Piedmont, P.a. | Internal Medicine | 445 Pineview Dr Ste 200b, Kernersville, NC 27284 | 2018-08-01 |
| 1942786629 | Brea Anjanee' Washington | Nurse Practitioner | 1635 Nc 66 South, Suite 145, Kernersville, NC 27284 | 2018-07-16 |
| 1992216246 | Charley Elizabeth Cummings | Physician Assistant | 1635 Nc-66, Kernersville, NC 27284 | 2017-10-13 |
| 1902324304 | Susan Marie Garcia | Counselor | 822 Old Winston Road, Suite 5, Kernersville, NC 27284 | 2017-09-06 |
| 1871034603 | Ljp Lab LLC | Clinical Medical Laboratory | 495 Arbor Hill Rd Ste S, Kernersville, NC 27284 | 2017-03-13 |
| 1912446253 | Knew Era Consulting | Counselor | 335 Creekview Drive, Kernersville, NC 27284 | 2017-02-20 |
| 1144686593 | Amber Moore | Counselor | 822 Old Winston Rd, Suite 5, Kernersville, NC 27284 | 2016-01-14 |
| Find all providers in zip 27284 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528244225 | Diagnostic Radiology & Imaging, LLC | Radiology | 1635 Hwy 66 South, Suite 110, Kernersville, NC 27284-3705 | 2008-01-14 |
| 1538273990 | Excel Imaging LLC | Radiology | 280 Broad St Ste F, Kernersville, NC 27284-2948 | 2006-08-19 |
| 1063454569 | Forsyth Radiological Associates | Radiology | 280 Broad St, Kernersville, NC 27284-2948 | 2006-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770195166 | Sonocare, LLC | Radiology | 2579 Chimney Rock Rd Fl 2, Hendersonville, NC 28792-9181 | 2020-08-18 |
| 1700497492 | Raleigh Radiology Imaging Network, LLC | Radiology | 505 Oberlin Rd Ste 110, Raleigh, NC 27605-1345 | 2020-08-14 |
| 1144831611 | Raleigh Radiology Enterprises, LLC | Radiology | 101 Lattner Ct Ste 101, Morrisville, NC 27560-9584 | 2020-08-10 |
| 1245859453 | Triad Breast Imaging Center, LLC | Radiology | 3515 W Market St Ste 320, Greensboro, NC 27403-4438 | 2020-04-09 |
| 1265065098 | Dylan Moore | Radiology | 69 Beechwood Rd, Asheville, NC 28805-2329 | 2020-02-20 |
| 1346898632 | Mohamed Khalif Osman Warfa | Radiology | Diagnostic Radiology, Wake Forest School of Medicine, 1 Medical Boulevard, Winston-salem, NC 27157-0001 | 2019-08-29 |
| 1568023190 | Bay Imaging Consultants Medical Group Inc | Radiology | 1226 Brickfield Dr., Cary, NC 27519 | 2019-06-25 |
| 1942781455 | Mcpc-19, LLC | Radiology | 2919 Beechtree Dr Ste 1200, Sanford, NC 27330-6934 | 2018-08-23 |
| 1235619321 | Sonocare, LLC | Radiology | 611 Mocksville Ave Ste 203, Salisbury, NC 28144-2738 | 2018-08-17 |
| 1992284327 | Presbyterian Imaging Centers LLC | Radiology | 106 Langtree Village Dr # 201, Mooresville, NC 28117 | 2018-08-07 |
| Find all providers with the same taxonomy | ||||
| City | KERNERSVILLE |
| Zip Code | 27284 |
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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.