Winston Salem Pediatrics & Kernersville Pediatrics

LBN: Highroad Pediatrics
Winston Salem Pediatrics & Kernersville Pediatrics is an health care organization with primary practice located at 2808 Maplewood Ave , Winston Salem NC 27103-4138. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Highroad Pediatrics can be contacted via phone (336) 765-9000, or through Tolley, Scott Eric via phone (336) 765-9000.

Contact Information

Primary practice address
2808 Maplewood Ave Winston Salem NC 27103-4138
Phone: (336) 765-9000
Fax: (336) 765-5702
Website:
Map and Directions
Authorized official contact:
Name: Tolley, Scott Eric
Phone: (336) 765-9000

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X North Carolina

Profile Details

NPI number 1154348597
LBN Legal business name Highroad Pediatrics
DBA Doing business as Winston Salem Pediatrics & Kernersville Pediatrics
Authorized official Tolley, Scott Eric
Entity Organization
Organization subpart 1 No
Enumeration date Jul 15th, 2006
Last updated Sep 3rd, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154348597 NPPES
North Carolina MEDICAID 5903822
North Carolina MEDICAID 5903823

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