Atrium Health Wake Forest Baptist Neurology - Westchester
LBN: Wake Forest Health Network Llc
Atrium Health Wake Forest Baptist Neurology - Westchester is an health care organization with primary practice located at 1814 Westchester Dr Suite 401, High Point NC 27262-7299. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Clinical Neurophysiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Neurology is the primary health care specialty.
Wake Forest Health Network Llc can be contacted via phone (336) 802-2080, or through Howerton, Russell Mars via phone (336) 716-1331.
Contact Information
Primary practice address
1814 Westchester Dr Suite 401
High Point NC 27262-7299
Phone: (336) 802-2080
Fax: (336) 802-2081
Website:
Authorized official contact:
Name: Howerton, Russell Mars Doctor of Medicine (MD)
Phone: (336) 716-1331
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | ||
| Allopathic & Osteopathic Physicians / Clinical Neurophysiology | 2084N0600X | ||
| Allopathic & Osteopathic Physicians / Pain Medicine | 2084P2900X |
Profile Details
| NPI number | 1790809531 |
|---|---|
| LBN Legal business name | Wake Forest Health Network Llc |
| DBA Doing business as | Atrium Health Wake Forest Baptist Neurology - Westchester |
| Authorized official | Howerton, Russell Mars Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 19th, 2007 |
| Last updated | Nov 29th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790809531 | NPPES |
| North Carolina | MEDICAID | 5912993 | |
| North Carolina | Other | 7656739 | |
| North Carolina | Other | CC4242 | |
| North Carolina | Other | 269374 | |
| North Carolina | Other | 50102 | |
| North Carolina | Other | 0218G | |
| North Carolina | Other | CD6614 | |
| North Carolina | Other | CB8658 | |
| North Carolina | Other | D266 | |
| North Carolina | Other | 1212660031 | |
| North Carolina | Other | CC4243 | |
| North Carolina | Other | CC5472 | |
| North Carolina | Other | CC6608 | |
| North Carolina | MEDICAID | 890218G | |
| North Carolina | Other | CC4241 | |
| North Carolina | Other | CF9200 |
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