PATHOLOGISTS DIAGNOSTIC SERVICES PLLC (NPI# 1942278411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942278411 |
| Entity Type | Organization |
| Organization Name | PATHOLOGISTS DIAGNOSTIC SERVICES PLLC |
| Practice Address |
3333 Silas Creek Parkway Winston Salem NC 27103 |
| Mailing Address |
P.o. Box 30369 Winston Salem NC 27130 |
| Practice Telephone | 3367183771 |
| Practice Fax Number | 3367189259 |
| Mailing Telephone | 3369998888 |
| Mailing Fax Number | 3369998889 |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2019-07-16 |
| Authorized Official Name | DR. CULLEN TAYLOR (PRESIDENT) |
| Authorized Official Telephone | 3367183771 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ZD0900X |
Pathology Specialization: Dermatopathology |
200000967 | NC | Allopathic & Osteopathic Physicians |
| N | 207ZH0000X |
Pathology Specialization: Hematology |
22509 | NC | Allopathic & Osteopathic Physicians |
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
24810 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| 01926 | BCBS | 01 | |
| NC | 8901926 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 336 Deerfield Rd, Boone, NC 286075008 | 3369998888 | 3369998889 |
| Street Address |
3333 SILAS CREEK PARKWAY |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851579049 | Richard Lorenz | Counselor | 3333 Silas Creek Parkway, Winston Salem, NC 27103 | 2008-02-10 |
| 1861421455 | Earl P Webster | Internal Medicine | 3333 Silas Creek Parkway, Cogenthmg C/o Select Specialty Hospital 6th Floor, Winston Salem, NC 27103 | 2006-07-03 |
| 1548240690 | Thomas Woodward Cann IIi | Internal Medicine | 3333 Silas Creek Parkway, Novant Health Inpatient Care Specialists of Forsyth, Winston Salem, NC 27103 | 2006-01-17 |
| 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 | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508484965 | Azad Bakht | Pathology | Medical Center Boulevard Department of Pathology, Winston Salem, NC 27157-0001 | 2020-07-10 |
| 1750670279 | Nathan Samuel Cuka | Pathology | 3333 Silas Creek Pkwy Fl 1, Winston Salem, NC 27103-3013 | 2011-04-05 |
| 1124150636 | Herbert Miles Schiller | Pathology | 2851 Kensington Rd, Winston Salem, NC 27106-5709 | 2007-03-10 |
| 1720518186 | William Jarvis Beuerlein | Pathology | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2017-06-18 |
| 1609301498 | Danielle Robinson Petty | Pathology | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2017-04-28 |
| 1780031138 | Jesus Emanuel Hernandez Velez | Pathology | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2016-05-16 |
| 1750777884 | Yu Yang | Pathology | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2015-04-15 |
| 1447661335 | Danielle Lameirinhas Vieira Maracaja | Pathology | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2014-05-13 |
| 1215357322 | Rebecca Montez Steele | Pathology | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2014-04-16 |
| 1932546819 | Angela Grace Niehaus | Pathology | Medical Center Blvd, Winston Salem, NC 27157-6773 | 2013-05-31 |
| 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.