Wilkes Physician Network, Inc.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

WILKES PHYSICIAN NETWORK, INC.

Practice address

1915 W Park Dr
Suite 101
North Wilkesboro, NC 28659-3511

Phone

(336) 903-8700

Fax

(336) 651-8196

NPI assigned

Aug 6, 2008

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, MD

Title

Sr Vice President

Phone

(704) 403-4146

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Wilkes Regional Surgical Specialists Doing business as

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": "1217980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391731200000",
    "number": "1053577239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 W PARK DR",
            "address_2": "SUITE 101",
            "city": "NORTH WILKESBORO",
            "state": "NC",
            "postal_code": "286593511",
            "telephone_number": "336-903-8700",
            "fax_number": "336-651-8196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 W PARK DR",
            "address_2": "SUITE 101",
            "city": "NORTH WILKESBORO",
            "state": "NC",
            "postal_code": "286593511",
            "telephone_number": "336-903-8700",
            "fax_number": "336-651-8196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILKES PHYSICIAN NETWORK, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WILKES PHYSICIAN NETWORK, INC.",
        "enumeration_date": "2008-08-06",
        "last_updated": "2014-02-07",
        "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": "704-403-4146",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5950358",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wilkes Regional Surgical Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wilkes Anesthesia Associates PA
• Wilkes County Schools
• Wilkes Dental Consortium
• Wilkes Dialysis Center of Wake Forest University
• Wilkes Pediatric Clinic, PLLC
• Wilkes Physician Network, Inc.
• Wilkes Physician Network, Inc.
• Wilkes Physician Network, Inc.
• Wilkes Physician Network, Inc.
• Wilkes Physician Network, Inc.

• Surgery Physician in North Wilkesboro, NC
• Providers in North Wilkesboro, NC by specialty
• Surgery Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2014; 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.