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FORD SIMPSON LIVELY & RICE PEDIATRICS NPI 1306882782


NPI Information

NPI: 1306882782
Provider Name: FORD, SIMPSON, LIVELY & RICE PEDIATRICS
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
2909 MAPLEWOOD AVE
WINSTON SALEM, NC
ZIP 27103
Phone: (336) 794-3380
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FORD, SIMPSON, LIVELY & RICE 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. FORD, SIMPSON, LIVELY & RICE PEDIATRICS NPI is 1306882782. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2909 MAPLEWOOD AVE
WINSTON SALEM, NC
ZIP 27103-009
Phone: (336) 794-3380
Fax: (336) 794-3378

The provider's authorized official is Karen W Cagle .
The authorized official title is Cheif Risk Management Officer and has the following contact phone number (336) 802-2406.

The enumeration date for this NPI number is 6/22/2006 and was last updated on 5/13/2009.


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
1208000000XPediatricsYes

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
18901759MEDICAIDNORTH CAROLINA
2CD6614OTHERNORTH CAROLINARR MEDICARE
3CC4243OTHERNORTH CAROLINARR MEDICARE
4CC4242OTHERNORTH CAROLINARR MEDICARE
589015U1MEDICAIDNORTH CAROLINA
6CB8658OTHERNORTH CAROLINARR MEDICARE
7CF9200OTHERNORTH CAROLINARR MEDICARE
8CC4241OTHERNORTH CAROLINARR MEDICARE
95909124MEDICAIDNORTH CAROLINA
10020E1OTHERNORTH CAROLINABCBS GROUP
11CC5472OTHERNORTH CAROLINARR MEDICARE
125905488MEDICAIDNORTH CAROLINA
13CC6608OTHERNORTH CAROLINARR MEDICARE

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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