MRS. NANCY IRENE FALLER (NPI# 1811952740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811952740 |
| Entity Type | Individual |
| Full Name | MRS. NANCY IRENE FALLER |
| Credential | DO |
| Practice Address |
145 Kimel Park Dr Suite 330 Winston Salem NC 27103-6984 |
| Practice Telephone | 3367656181 |
| Practice Fax Number | 3367658492 |
| Mailing Telephone | 3367656181 |
| Mailing Fax Number | 3367658492 |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2020-09-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
9401402 | NC | Allopathic & Osteopathic Physicians |
| N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
9401402 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8931096 | 05 | |
| NC | BLUE CROSS & BLUE SHIELD | 13736 | 01 |
| NC | MEDCOST | D8837 | 01 |
| NC | AETNA | 05609128 | 01 |
| Street Address |
145 KIMEL PARK DR SUITE 330 |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27103-6984 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447775119 | Emily Moon | Nurse Anesthetist, Certified Registered | 145 Kimel Park Dr, Suite 120, Winston Salem, NC 27103 | 2017-08-03 |
| 1972039329 | Matthew Bryant Foster | Nurse Anesthetist, Certified Registered | 145 Kimel Park Dr, Suite 120, Winston Salem, NC 27103-6984 | 2017-05-04 |
| 1790228278 | Emily Stone | Nurse Anesthetist, Certified Registered | 145 Kimel Park Dr, Suite 120, Winston Salem, NC 27103-6984 | 2016-12-01 |
| 1437603891 | Evan Blake Moon | Nurse Anesthetist, Certified Registered | 145 Kimel Park Dr, Suite 120, Winston Salem, NC 27103-6984 | 2016-08-15 |
| 1407309677 | Patrick James Parcell | Nurse Anesthetist, Certified Registered | 145 Kimel Park Dr, Suite 120, Winston Salem, NC 27103-6984 | 2016-07-25 |
| 1518410786 | Jessica Lloyd Rothrock | Nurse Anesthetist, Certified Registered | 145 Kimel Park Dr, Suite 120, Winston Salem, NC 27103-6984 | 2016-07-25 |
| 1063965234 | Benjamin Joseph Boehnlein | Nurse Anesthetist, Certified Registered | 145 Kimel Park Dr, Suite 120, Winston Salem, NC 27103-6984 | 2016-07-25 |
| 1891171682 | Nicholas Dane Pulliam | Nurse Anesthetist, Certified Registered | 145 Kimel Park Dr, Suite 120, Winston Salem, NC 27103-6984 | 2015-08-04 |
| 1790161818 | Deborah Reece | Physician Assistant | 145 Kimel Park Dr, Suite 330, Winston Salem, NC 27103-6984 | 2015-07-31 |
| 1720466840 | Kristen Marisa Bettis | Nurse Anesthetist, Certified Registered | 145 Kimel Park Dr, Suite 120, Winston Salem, NC 27103-6984 | 2015-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124648126 | Kelly Anne Wales | Pharmacist | 3917-a Westpoint Boulevard, Winston-salem, NC 27103 | 2020-04-20 |
| 1386281533 | Elena Mcginty | Nurse Practitioner | 1225 Creekshire Way, Suite 270, Winston Salem, NC 27103 | 2019-12-06 |
| 1992359442 | Madeline Pryor | Pharmacist | 255 Charlois Drive, Winston Salem, NC 27103 | 2019-08-01 |
| 1215599584 | Palmetto Oxygen LLC | Durable Medical Equipment & Medical Supplies | 1100 S Stratford Road, Building B, Suite 420, Winston Salem, NC 27103 | 2019-07-07 |
| 1548734718 | Trivy Johnson | Specialist | 1384-b Westgate Center Dr., Winston Salem, NC 27103 | 2019-01-21 |
| 1447745047 | Novant Health Rehabilitation Hospital of Winston-salem, LLC | Rehabilitation Hospital | 2475 Hillcrest Center Circle, Winston Salem, NC 27103 | 2018-06-26 |
| 1346740206 | Joseph Miller | Physical Therapist | 1605 Westbrook Dr, Suite 103, Winston-salem, NC 27103 | 2018-02-17 |
| 1548779101 | Kristin Blow | Counselor | 3000 Bethesda Pl Ste 202, Winston Salem, NC 27103 | 2017-09-27 |
| 1891213443 | Alisha Dawn Wilson | Occupational Therapy Assistant | 2101 Homestead Hills Drive, Winston Salem, NC 27103 | 2017-09-05 |
| 1588186969 | Brandy Wilson | Social Worker | 153 Cameron Way Circle, Winston Salem, NC 27103 | 2017-07-07 |
| Find all providers in zip 27103 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710453550 | Bethany Medical Center | Anesthesiology | 5093 University Pkwy, Winston Salem, NC 27106-6085 | 2018-10-19 |
| 1033669114 | Anesthesia Services Associates | Anesthesiology | 160 Kimel Park Dr., Ste 100, Winston Salem, NC 27103 | 2016-10-12 |
| 1639531452 | Daniel Bintrim | Anesthesiology | Wake Forest Baptist Health Medical Center Blvd, Winston Salem, NC 27157-3215 | 2016-03-22 |
| 1417392028 | Chris Curtis Custer | Anesthesiology | 145 Kimel Park Dr, Suite 330, Winston Salem, NC 27103-6984 | 2013-05-08 |
| 1073957494 | Heather Ann Columbano | Anesthesiology | Medical Center Blvd Department of Anesthesiology, Winston Salem, NC 27157-0816 | 2013-04-29 |
| 1720230980 | Dagmar Westerling | Anesthesiology | Medical Center Blvd, Department of Anesthesiology, Winston Salem, NC 27157-0001 | 2008-10-21 |
| 1669638961 | Dudley Elliott Hammon | Anesthesiology | Medical Center Blvd, Department of Pediatrics, Winston Salem, NC 27157-0001 | 2008-08-06 |
| 1750574240 | Rima J Jarrah | Anesthesiology | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2007-08-20 |
| 1447355029 | Leonardo Kapural | Anesthesiology | 145 Kimel Park Dr Ste 330, Winston Salem, NC 27103-6972 | 2006-09-14 |
| 1982669339 | Advanced Interventional Pain Management, Pa | Anesthesiology | 160 Kimel Forest Dr, Suite100, Winston Salem, NC 27103-6074 | 2006-04-19 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27103 |
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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.