Wilkes Physician Network, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

WILKES PHYSICIAN NETWORK, INC.

Practice address

171 W Wilkes Medical Center Rd
Ferguson, NC 28624-8925

Phone

(336) 973-9378

Fax

(336) 973-9370

NPI assigned

Jul 18, 2014

Organization subpart

Yes

Parent organization

WILKES PHYSICIAN NETWORK, INC.As reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Frieda M Lowder

Title

Sr Vice President

Phone

(704) 403-1780

Specialties & licenses 1

Addresses

Other names 1

• West Wilkes Family Medicine Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Wilkes Physician Network in

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Wilkes Physician Network, Inc.,

  • Surgery Physician
  • North Wilkesboro, NC
  • NPI 1215192893
  NPPES parent name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1405641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405641600000",
    "number": "1013324375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 W WILKES MEDICAL CENTER RD",
            "city": "FERGUSON",
            "state": "NC",
            "postal_code": "286248925",
            "telephone_number": "336-973-9378",
            "fax_number": "336-973-9370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 W WILKES MEDICAL CENTER RD",
            "city": "FERGUSON",
            "state": "NC",
            "postal_code": "286248925",
            "telephone_number": "336-973-9378",
            "fax_number": "336-973-9370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILKES PHYSICIAN NETWORK, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WILKES PHYSICIAN NETWORK, INC.",
        "enumeration_date": "2014-07-18",
        "last_updated": "2014-07-18",
        "status": "A",
        "authorized_official_last_name": "LOWDER",
        "authorized_official_first_name": "FRIEDA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SR VICE PRESIDENT",
        "authorized_official_telephone_number": "704-403-1780"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Wilkes Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rha Health Services NC, LLC
• Rha North Carolina Mr, Inc.
• Rick Hensley DMD, PA Dba Rick Hensley Family Dentistry
• Holly Elizabeth Roberts
• West Wilkes Medical Center, Inc.

• All providers in Ferguson, NC
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.