NORTH CAROLINA BAPTIST HOSPITAL NPI 1912179219

NPI Information

NPI: 1912179219
Provider Name: NORTH CAROLINA BAPTIST HOSPITAL

Doing Business As: WINSTON EAST PEDIATRICS

Classification: Pediatrics - 2080A0000X
Entity Type: Organization

Specialization: Adolescent Medicine

Address:
2295 E 14TH ST
SUITE 100
WINSTON SALEM, NC
ZIP 27105
Phone: (336) 715-0514
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NORTH CAROLINA BAPTIST HOSPITAL is an adolescent medicine pediatrics in Winston Salem, NC. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. NORTH CAROLINA BAPTIST HOSPITAL NPI is 1912179219. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Winston East Pediatrics.

The provider's business location address is:

2295 E 14TH ST
SUITE 100
WINSTON SALEM, NC
ZIP 27105-804
Phone: (336) 715-0514
Fax: (336) 725-2173

The provider's authorized official is Donny C Lambeth .
The authorized official title is President and has the following contact phone number (336) 716-3003.

The enumeration date for this NPI number is 3/26/2008 and was last updated on 10/1/2009.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080A0000X	Pediatrics	Adolescent Medicine	H0011	NORTH CAROLINA	Yes

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
1	H0011	OTHER	NORTH CAROLINA	STATE LICENSE
2	340047	MEDICARE OSCAR/CERTIFICATION	NORTH CAROLINA
3	3400047	MEDICAID	NORTH CAROLINA
4	2333292B	OTHER	NORTH CAROLINA	MEDICARE PART B

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: 11/14/2023

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