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YADKIN RIVER RADIOLOGY PA NPI 1710908041


NPI Information

NPI: 1710908041
Provider Name: YADKIN RIVER RADIOLOGY PA
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
1365 WESTGATE CENTER DR
SUITE K-1
WINSTON SALEM, NC
ZIP 27103
Phone: (336) 760-4450
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YADKIN RIVER RADIOLOGY PA is a diagnostic radiology radiology in Winston Salem, NC. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. YADKIN RIVER RADIOLOGY PA NPI is 1710908041. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1365 WESTGATE CENTER DR
SUITE K-1
WINSTON SALEM, NC
ZIP 27103-980
Phone: (336) 760-4450
Fax: (336) 760-6197

The provider's authorized official is Paul J Beerman .
The authorized official title is President and has the following contact phone number (336) 760-4450.

The enumeration date for this NPI number is 7/22/2006 and was last updated on 6/26/2009.


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
12085R0202XRadiologyDiagnostic RadiologyYes

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
189015R1MEDICAIDNORTH CAROLINA
22336895MEDICARE ID-TYPE UNSPECIFIEDNORTH 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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.