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SUMMIT SLEEP DISORDER CENTER PA NPI 1205968963


NPI Information

NPI: 1205968963
Provider Name: SUMMIT SLEEP DISORDER CENTER, PA
Classification: Psychiatry & Neurology - 2084S0012X
Entity Type: Organization

Specialization: Sleep Medicine

Address:
160 CHARLOIS BLVD
WINSTON SALEM, NC
ZIP 27103
Phone: (336) 768-5834
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SUMMIT SLEEP DISORDER CENTER, PA is a sleep medicine psychiatry neurology in Winston Salem, NC. The provider is a Psychiatrist or Neurologist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders. SUMMIT SLEEP DISORDER CENTER, PA NPI is 1205968963. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

160 CHARLOIS BLVD
WINSTON SALEM, NC
ZIP 27103-522
Phone: (336) 768-5834
Fax: (336) 765-4889

The provider's authorized official is Patricia C Pulliam .
The authorized official title is Vice President Administration and has the following contact phone number (336) 768-5834.

The enumeration date for this NPI number is 3/9/2007 and was last updated on 12/7/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084S0012XPsychiatry & NeurologySleep Medicine19652NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10904MEDICARE PINNORTH CAROLINA
201151OTHERNORTH CAROLINABCBSOFNC
37901151MEDICAIDNORTH CAROLINA
4210527COTHERNORTH CAROLINAMEDICARE
5=========OTHERNORTH CAROLINATRICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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