PIEDMONT COMMUNITY PHYSICIANS PC (NPI# 1871715342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871715342 |
| Entity Type | Organization |
| Organization Name | PIEDMONT COMMUNITY PHYSICIANS PC |
| Other Organization Name | VEIN CLINIC OF NC |
| Practice Address |
3318 Healy Dr Winston Salem NC 27103-1404 |
| Practice Telephone | 3367683530 |
| Practice Fax Number | 3367681329 |
| Mailing Telephone | 3367683530 |
| Mailing Fax Number | 3367681329 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2014-06-03 |
| Authorized Official Name | DR. SCOTT W. BAKER (PRESIDENT) |
| Authorized Official Telephone | 3367683530 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | PIEDMONT COMMUNITY PHYSICIANS, PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 202K00000X | Phlebology | 22664 | NC | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 17432 | NC | Allopathic & Osteopathic Physicians |
| N | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
34813 | NC | Allopathic & Osteopathic Physicians |
| Y | 202K00000X | Phlebology | 1991-34813 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BSBC NC | 13217 | 01 |
| AETNA | 9209243 | 01 |
| Other Name | Type Code |
|---|---|
| Vein Clinic of NC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982661690 | Piedmont Community Physicians PC | Phlebology | 3610 Darren Rd, Clemmons, NC 27012-9077 | 2006-04-27 |
| 1972915510 | Piedmont Community Physicians PC | Family Medicine | 3610 Darren Rd, Clemmons, NC 27012-9077 | 2014-06-02 |
| 1790998821 | Piedmont Community Physicians PC | Anesthesiology | 3610 Darren Rd, Clemmons, NC 27012-9077 | 2007-05-07 |
| 1821218496 | Piedmont Community Physicians PC | Family Medicine | 3610 Darren Rd, Clemmons, NC 27012-9077 | 2007-04-26 |
| Street Address |
3318 HEALY DR |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27103-1404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114984267 | George William Haggerson | Surgery | 3318 Healy Dr, Winston Salem, NC 27103-1404 | 2006-05-01 |
| 1508021429 | S. Baker & Associates, LLC | Anesthesiology | 3318 Healy Dr, Winston Salem, NC 27103-1404 | 2008-07-21 |
| 1972530368 | Sumati B. Shah | Family Medicine | 3318 Healy Dr, Winston Salem, NC 27103-1404 | 2006-06-28 |
| 1033165261 | Bansi P Shah | Surgery | 3318 Healy Dr, Winston Salem, NC 27103-1404 | 2006-05-26 |
| 1104884279 | Scott William Baker | Anesthesiology | 3318 Healy Dr, Winston Salem, NC 27103-1404 | 2006-05-01 |
| 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 | 202K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Phlebology |
| Phlebology is the medical discipline that involves the diagnosis and treatment of venous disorders, including spider veins, varicose veins, chronic venous insufficiency, venous leg ulcers, congenital venous abnormalities, venous thromboembolism and other disorders of venous origin. A phlebologist has attained a minimum of 50 hours of CME units in phlebology-related courses, and is knowledgeable of and trained in a variety of diagnostic techniques including physical examination, venous imaging techniques such as duplex ultrasound, CT and MR, plethysmographic techniques and laboratory evaluation related to venous thromboembolism. The phlebologist is also trained in a variety of therapeutic interventions, which may include compression, sclerotherapy, cutaneous vascular laser, endovenous thermoablation procedures (laser and radiofrequency) endovenous chemical ablation, surgical procedures (e.g., ambulatory phlebectomy, venous ligation), vasoactive medications and the management of venous thromboembolism. |
| Notes: Source: American College of Phlebology 12/2006. www.phelbology.org [1/1/2007: new, 7/1/2009: definition reformatted] Additional Resources: Training Programs, Fellowships, and/or Preceptorships: Certification exam is being established by the American Board of Phlebology. ACGME Accredited Residency Program Requirements: None |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962909796 | Amery Medical Group Pllc | Phlebology | 4237 Louisburg Rd Ste 110, Raleigh, NC 27604-4348 | 2018-04-09 |
| 1548206022 | North Carolina Phlebology PC | Phlebology | 309 S Sharon Amity Rd Ste 304, Charlotte, NC 28211-2886 | 2006-06-21 |
| 1982661690 | Piedmont Community Physicians PC | Phlebology | 3610 Darren Rd, Clemmons, NC 27012-9077 | 2006-04-27 |
| 1073572533 | Mark W Featherston | Phlebology | 1130 New Garden Road, Greensboro, NC 27410 | 2006-03-22 |
| 1952564718 | Carolina Vein Center Pllc | Phlebology | 5015 Southpark Dr, Suite 100, Durham, NC 27713-7736 | 2008-07-02 |
| 1588853865 | Vein Center of Charlotte | Phlebology | 10502 Park Rd, Suite 120, Charlotte, NC 28210-8479 | 2007-10-23 |
| 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.