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HIGHROAD PEDIATRICS NPI 1154348597


NPI Information

NPI: 1154348597
Provider Name: HIGHROAD PEDIATRICS

Doing Business As: WINSTON SALEM PEDIATRICS & KERNERSVILLE PEDIATRICS

Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 34D0237327

Address:
2808 MAPLEWOOD AVE
WINSTON SALEM, NC
ZIP 27103
Phone: (336) 765-9000
Get Directions

HIGHROAD PEDIATRICS is a pediatrics in Winston Salem, NC. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. HIGHROAD PEDIATRICS NPI is 1154348597. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Winston Salem Pediatrics & Kernersville Pediatrics.

The provider's business location address is:

2808 MAPLEWOOD AVE
WINSTON SALEM, NC
ZIP 27103-138
Phone: (336) 765-9000
Fax: (336) 765-5702

The provider's authorized official is Scott Eric Tolley .
The authorized official title is Office Manager and has the following contact phone number (336) 765-9000.

The CLIA number assigned to this NPI record is 34D0237327 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/15/2006 and was last updated on 9/3/2008.


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
1208000000XPediatricsNORTH 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
15903822MEDICAIDNORTH CAROLINA
25903823MEDICAIDNORTH CAROLINA

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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