National Provider Identifier Database

WAKE FOREST BAPTIST MEDICAL CENTER COMMUNITY PHYSICIANS
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.


Contact Information

WAKE FOREST BAPTIST MEDICAL CENTER COMMUNITY PHYSICIANS
2295 EAST 14TH ST
STE 100
WINSTON-SALEM, NC27105
Phone: 336-725-0514
Fax: 336-725-2173
Website:
Specialty Taxonomy Code
* Pediatrics 208000000X

* Indicates primary specialty

NPI Profile & details for WAKE FOREST BAPTIST MEDICAL CENTER COMMUNITY PHYSICIANS

NPI Number 1326031543
Legal business name
LBN
WAKE FOREST BAPTIST MEDICAL CENTER COMMUNITY PHYSICIANS
Authorized official LEWIS THORP - (PRESIDENT/CEO)
Entity Organization
Organization subpart Yes
Enumeration date 08/23/2005
Last updated 04/10/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • NC Medicaid: 890228U
  • NC Other: 2317728I MEDICARE GROUP NUMBER

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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