WOODRUFF WORD FAULK JR. (NPI# 1710939400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710939400 |
| Entity Type | Individual |
| Full Name | WOODRUFF WORD FAULK JR. |
| Credential | MD |
| Practice Address |
500 Chatham Medical Park Elkin NC 28621 |
| Practice Telephone | 3368353136 |
| Practice Fax Number | 3368356038 |
| Mailing Telephone | 3368353136 |
| Mailing Fax Number | 3368356038 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 20720 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8931394 | 05 |
| Street Address |
500 CHATHAM MEDICAL PARK |
| City | ELKIN |
| State | NC |
| Zip Code | 28621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518919554 | Tony Wayne Canupp | Internal Medicine | 500 Chatham Medical Park, Elkin, NC 28621 | 2006-05-17 |
| 1316315039 | Elizabeth W Lowrance | Nurse Practitioner | 500 Chatham Medical Park, Elkin, NC 28621 | 2015-09-11 |
| 1801051032 | Jennifer Coe Marion | Nurse Practitioner | 500 Chatham Medical Park, Elkin, NC 28621-2481 | 2008-07-28 |
| 1568544492 | Hugh Chatham Memorial Hospital, Inc | Internal Medicine | 500 Chatham Medical Park, Elkin, NC 28621 | 2006-10-19 |
| 1144272840 | Paul Hudson Gulley | Internal Medicine | 500 Chatham Medical Park, Elkin, NC 28621 | 2006-05-17 |
| 1275585960 | Paul Leslie Garrison Jr. | Internal Medicine | 500 Chatham Medical Park, Elkin, NC 28621-2481 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013553692 | Carenet, Inc. | Counselor | 1288 C.b. Eller School Road, Elkin, NC 28621 | 2019-11-19 |
| 1386104776 | North Bridge Physio and Sports Performance | Clinic/Center | 1605 North Bridge Street, Elkin, NC 28621 | 2019-03-21 |
| 1609389238 | Rebecca Anne Dumas | Physical Therapist | 145 Valleybrook Dr, Elkin, NC 28621 | 2017-11-06 |
| 1922547744 | Lori Barker | Clinical Nurse Specialist | 124, Samaritan's Ridge Road, Elkin, NC 28621 | 2017-02-13 |
| 1205061256 | Hugh Chatham Memorial Hospital, Inc | Internal Medicine | 520 Chatham Medical Park, Elkin, NC 28621 | 2009-05-20 |
| 1093909236 | Elkin Obstetrics and Gynecology, Pllc | Obstetrics & Gynecology | 101 A Eldon Parks Dr., Elkin, NC 28621 | 2007-08-30 |
| 1497956205 | Nayana Abrol | Internal Medicine | 180 Parkwood Drive, Hugh Chatham Memorial Hospital, Elkin, NC 28621 | 2007-05-30 |
| 1104950765 | Dgis Elkin Inc Dba Chatham Nursing and Rehabilitation | Skilled Nursing Facility | 700 Johnson Ridge Road, Elkin, NC 28621 | 2007-03-15 |
| 1093860777 | Carolina Select Home Care, LLC. | Home Health | 948-b Johnson Ridge Rd., Elkin, NC 28621 | 2007-01-24 |
| 1922160761 | Piedmont Department of Urology, Pllc | Urology | 350 Johnson Ridge Medical Park, Elkin, NC 28621 | 2006-12-15 |
| Find all providers in zip 28621 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548391568 | Graham Medical Services Pllc | Family Medicine | 800 Chatham Medical Park, Elkin, NC 28621-2484 | 2007-03-08 |
| 1427020437 | Cristin M Trecroce | Family Medicine | 380 Parkwood Medical Park, Elkin, NC 28621-2444 | 2006-02-03 |
| 1356311153 | Alvaro A Castillejo | Family Medicine | 124 Samaritans Ridge Rd, Elkin, NC 28621-2452 | 2006-01-24 |
| 1043290331 | Stephen Eric Erlandson | Family Medicine | 600 Chatham Medical Park, Elkin, NC 28621-2482 | 2006-01-20 |
| 1275522492 | Darryl Bruce Rhyne | Family Medicine | 660 Parkwood Medical Park, Elkin, NC 28621-2487 | 2005-10-20 |
| 1578552758 | Ramon Eduardo Vargas | Family Medicine | 180 Parkwood Dr, Hugh Chatham Memorial, Elkin, NC 28621-2430 | 2005-10-19 |
| 1235609629 | Marion Stoltzfus Braden Alexander | Family Medicine | 600 Chatham Medical Park, Elkin, NC 28621-2482 | 2018-11-28 |
| 1477985430 | Brmg-pc | Family Medicine | 640 Parkwood Medical Park, Elkin, NC 28621-2487 | 2013-08-01 |
| 1194023051 | Revival Pain Management, Inc | Family Medicine | 110 Dutchman Ct, Elkin, NC 28621-2237 | 2011-03-02 |
| 1508168808 | Hugh Chatham Memorial Hospital, Inc | Family Medicine | 600 Chatham Medical Park, Elkin, NC 28621-2482 | 2010-11-19 |
| Find all providers in ELKIN | ||||
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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.