Passport Health

Primary specialty

Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X

Legal business name

PASSPORT HEALTH

Practice address

3000 Bethesda Place
Ste 101
Winston-Salem, NC 27103

Phone

(877) 358-8648

Fax

(877) 877-6875

NPI assigned

Mar 10, 2023

Last updated

Mar 10, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Victoria Sowards, BSN, RN

Title

Director Clinical Compliance

Phone

(480) 646-9028

Specialties & licenses 1

Addresses

Tax ID family

Passport Health Holdings LLC219 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 1

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Passport Health

  • Public Health & General Preventive Medicine Physician
  • Greensboro, NC
  • NPI 1306547930
  NPD tax ID

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

{
    "created_epoch": "1678406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678406400000",
    "number": "1073214797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "668 N 44TH STREET",
            "address_2": "STE 210W",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85008",
            "telephone_number": "480-646-9028",
            "fax_number": "877-877-6875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 BETHESDA PLACE",
            "address_2": "STE 101",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "27103",
            "telephone_number": "877-358-8648",
            "fax_number": "877-877-6875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASSPORT HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-10",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A",
        "authorized_official_last_name": "SOWARDS",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "DIRECTOR CLINICAL COMPLIANCE",
        "authorized_official_telephone_number": "480-646-9028",
        "authorized_official_credential": "BSN, RN"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rodolfo Marshall Pascual, MD
• Sandi Goughenour Pascual, NP
• Landon Curtis Paskett, MD
• Gina Pasquale, PA
• Ginny Elizabeth Pasquini, CRNA
• Passport Health
• Radhika Patani
• Achintya A Patel, MD
• Amit Hiralal Patel, M.D.
• Anand Rameshbhai Patel, MD

• Public Health & General Preventive Medicine Physician in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Public Health & General Preventive Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2023; 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.