National Provider Identifier Database

WAKE FOREST UNIVERSITY 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 UNIVERSITY BAPTIST MEDICAL CENTER COMMUNITY PHYSICIANS
1930 NORTH PEACE HAVEN RD
WINSTON-SALEM, NC27106
Phone: 336-760-5400
Fax: 336-760-0254
Website:
Specialty Taxonomy Code
* Pediatrics 208000000X

* Indicates primary specialty

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

NPI Number 1831182187
Legal business name
LBN
WAKE FOREST UNIVERSITY 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: 890237U
  • NC Other: 2317728F 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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