Provider Type Icon

WAKE FOREST HEALTH NETWORK LLC NPI 1730343922


NPI Information

NPI: 1730343922
Provider Name: WAKE FOREST HEALTH NETWORK LLC

Doing Business As: ATRIUM HEALTH WAKE FOREST BAPTIST OBSTETRICS AND GYNECOLOGY - ASHEBORO

Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
136 S PARK STREET
ASHEBORO, NC
ZIP 27203
Phone: (336) 626-6371
Get Directions

WAKE FOREST HEALTH NETWORK LLC is an obstetrics gynecology in Asheboro, NC. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. WAKE FOREST HEALTH NETWORK LLC NPI is 1730343922. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Atrium Health Wake Forest Baptist Obstetrics And Gynecology - Asheboro.

The provider's business location address is:

136 S PARK STREET
ASHEBORO, NC
ZIP 27203-651
Phone: (336) 626-6371
Fax: (336) 629-0436

The provider's authorized official is Russell Mars Howerton .
The authorized official title is Sr Vp Network Phys & Hs Cmo and has the following contact phone number (336) 716-1331.

The enumeration date for this NPI number is 7/16/2008 and was last updated on 11/8/2023.


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
1207V00000XObstetrics & GynecologyYes

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
1CC4241OTHERNORTH CAROLINARR MEDICARE
2CC4243OTHERNORTH CAROLINARR MEDICARE
35950293MEDICAIDNORTH CAROLINA
4CB8658OTHERNORTH CAROLINARR MEDICARE
5CD6614OTHERNORTH 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: 5/5/2024

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.