MDCO PA NPI 1649239641

NPI Information

  • NPI: 1649239641
  • Provider Name: MDCO PA
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • :
  • Address: 1995 BETHABARA RD
    WINSTON SALEM, NC
    ZIP 27106
  • Phone: (336) 245-0333

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NPI Details

MDCO PA 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. MDCO PA NPI is 1649239641. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

1995 BETHABARA RD
WINSTON SALEM, NC
ZIP 27106-375
Phone: (336) 245-0333
Fax: (336) 245-0332

The provider's authorized official is Timothy John Dalton .
The authorized official title is Physician and has the following contact phone number (336) 759-7596.

The enumeration date for this NPI number is 3/20/2006 and was last updated on 9/11/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine9500876NORTH CAROLINANo
2207Q00000XFamily Medicine24445NORTH CAROLINANo
3207Q00000XFamily Medicine9500759NORTH CAROLINANo
4363AM0700XPhysician AssistantMedical102304NORTH CAROLINANo
5363AM0700XPhysician AssistantMedical101788NORTH CAROLINANo
6363AM0700XPhysician AssistantMedical101138NORTH CAROLINANo
7207R00000XInternal Medicine95-00876NORTH CAROLINANo
8207R00000XInternal Medicine95-00759NORTH CAROLINANo
9208000000XPediatrics95-00876NORTH CAROLINANo
10208000000XPediatrics95-00759NORTH 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10222VOTHERNORTH CAROLINANORTH POINT MEDICAL BCBS
23977OTHERPARTNERS WEST FORSYTH
30296WOTHERNORTH CAROLINAWEST FORSYTH FAMILY BCBS
4402116OTHERUNITED HEALTHCARE WARNMNT
53981OTHERPARTNERS NORTH POINT
6402121OTHERUNITED HEALTHCARE DALTON
7287314OTHERMAMSI LENDLE
8CN3058OTHERNP RAILROAD MCR
9330206OTHERLAB NP & WF
10890222VMEDICAIDNORTH CAROLINA
11890296WMEDICAIDNORTH CAROLINA
12CJ5710OTHERRAILROAD WF MEDICARE
13102267OTHERUNITED HEALTHCARE LENDLE

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: 11/21/2025

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