MR. KEITH BOND (NPI# 1902219447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902219447 |
Entity Type | Individual |
Full Name | MR. KEITH BOND |
Credential | PA |
Practice Address |
2827 Lyndhurst Ave Suite 203 Winston Salem NC 27103-4145 |
Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
Practice Telephone | 3367948624 |
Practice Fax Number | 3362318845 |
Mailing Telephone | 3367948624 |
Mailing Fax Number | 3362318845 |
Enumeration Date | 2014-06-03 |
Last Update Date | 2020-10-25 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
2827 LYNDHURST AVE SUITE 203 |
City | WINSTON SALEM |
State | NC |
Zip Code | 27103-4145 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164481685 | Claude Raymond Workman | Surgery | 2827 Lyndhurst Ave, Suite 203, Winston Salem, NC 27103-4145 | 2006-03-22 |
1740626746 | Jean Young Goff | Physician Assistant | 2827 Lyndhurst Ave, Suite 203, Winston Salem, NC 27103-4145 | 2013-05-16 |
1508106691 | Novant Medical Group Inc | Surgery | 2827 Lyndhurst Ave, Suite 206, Winston Salem, NC 27103-4145 | 2013-02-26 |
1255670014 | Novant Medical Group Inc | Surgery | 2827 Lyndhurst Ave, Suite 201, Winston Salem, NC 27103-4145 | 2013-02-13 |
1720327729 | Novant Medical Group Inc | Surgery | 2827 Lyndhurst Ave, Suite 203, Winston Salem, NC 27103-4145 | 2013-02-11 |
1902089345 | Shawn Howard Fleming | Surgery | 2827 Lyndhurst Ave, Suite 203, Winston Salem, NC 27103-4145 | 2007-12-07 |
1215119151 | Phillip Schmitz Moore | Surgery | 2827 Lyndhurst Ave, Suite 203, Winston Salem, NC 27103-4145 | 2007-12-03 |
1447318332 | Charles B Campbell | Ophthalmology | 2827 Lyndhurst Ave, Suite 204, Winston Salem, NC 27103-4145 | 2006-12-05 |
1447333240 | Brian Paul Burkhart | Audiologist | 2827 Lyndhurst Ave, Winston Salem, NC 27103-4145 | 2006-10-23 |
1912967712 | Robert B. Thomason IIi | Surgery | 2827 Lyndhurst Ave, Suite 203, Winston Salem, NC 27103-4145 | 2006-03-24 |
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 | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740720770 | Kristen Marie Martyak | Physician Assistant | 1 Medical Center Blvd, Winston Salem, NC 27157-0001 | 2017-02-23 |
1598117327 | Vincent Jodell Hill Jr. | Physician Assistant | 131 Miller St, Winston Salem, NC 27103-2508 | 2016-07-05 |
1851763361 | Melvin Nelson Levers IIi | Physician Assistant | 2010 Baldwin Ln, Winston Salem, NC 27103-5846 | 2015-10-22 |
1154709459 | Deborah Davis | Physician Assistant | Medical Center Blvd, Wake Forest School of Medicine, Dept of Ct Surgery, Winston Salem, NC 27157-1096 | 2015-05-07 |
1104215649 | Jacqueline Flynn | Physician Assistant | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2015-01-21 |
1376969949 | Michele Christine Fiori | Physician Assistant | Wake Forest Baptist Health, Medical Center Boulevard, Winston Salem, NC 27157-0001 | 2014-03-06 |
1164785911 | Jeffrey W Williams | Physician Assistant | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2012-06-18 |
1972882405 | Brittni Lynn Thomas | Physician Assistant | 200 Robinhood Medical Plz, Winston Salem, NC 27106-5471 | 2011-08-15 |
1437460623 | Brian Barkley Peacock | Physician Assistant | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2010-06-23 |
1295052314 | Richard David Lowder II | Physician Assistant | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2010-04-29 |
Find all providers in WINSTON SALEM |
City | WINSTON SALEM |
Zip Code | 27103 |
Please comment or provide details below to improve the information on MR. KEITH BOND.
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.