Organization Active NPI

Valaoras and Lewis PA

  • Specialist
  • Winston-Salem, NC
National Provider Identifier
1013986355
Registry record updated Feb 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
VALAORAS AND LEWIS PA
Practice address
245 Charlois Blvd
Winston-Salem, NC 27103-1507
Phone
(336) 659-4777
Fax
(336) 659-4798
NPI assigned
Mar 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2013

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

Authorized official

Name
Mrs. Julie J. Jacobson, LPN
Title
Office Manager
Phone
(336) 659-4777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

245 Charlois Blvd
Winston-Salem, NC 27103-1507

Mailing address

245 Charlois Blvd
Winston-Salem, NC 27103-1507
Phone (336) 659-4777

Other identifiers 2

IdentifierTypeStateIssuer
7984629MedicaidNC
891318WMedicaidNC

National Provider Directory

National Provider Directory

Locations

245 Charlois Blvd
Winston Salem, NC 27103
Phone (336) 659-4777

NPI Registry JSON

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360540800000",
    "number": "1013986355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 CHARLOIS BLVD",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "271031507",
            "telephone_number": "336-659-4777",
            "fax_number": "336-659-4798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 CHARLOIS BLVD",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "271031507",
            "telephone_number": "336-659-4777",
            "fax_number": "336-659-4798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALAORAS AND LEWIS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-17",
        "last_updated": "2013-02-11",
        "status": "A",
        "authorized_official_last_name": "JACOBSON",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "336-659-4777",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7984629",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891318W",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston-Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.