Winston East Pediatrics

LBN: Wake Forest Baptist Medical Center Community Physicians
Winston East Pediatrics is an health care organization with primary practice located at 2295 East 14Th St Ste 100, Winston Salem NC 27105. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Wake Forest Baptist Medical Center Community Physicians can be contacted via phone (336) 725-0514, or through Thorp, Lewis S via phone (336) 721-3900.

Contact Information

Primary practice address
2295 East 14Th St Ste 100 Winston Salem NC 27105
Fax: (336) 725-2173
Website:
Authorized official contact:
Name: Thorp, Lewis S

Health care specialties

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

Profile Details

NPI number 1326031543
LBN Legal business name Wake Forest Baptist Medical Center Community Physicians
DBA Doing business as Winston East Pediatrics
Authorized official Thorp, Lewis S
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 23rd, 2005
Last updated Apr 10th, 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 1326031543 NPPES
North Carolina Other 2317728I MEDICARE GROUP NUMBER
North Carolina MEDICAID 890228U MEDICARE GROUP NUMBER

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