Winston Salem Dermatology & Surgery

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

9601111 Issued in NC

Legal business name

WINSTON SALEM DERMATOLOGY & SURGERY

Practice address

1400 Westgate Center Dr., Ste. 200
Winston-Salem, NC 27103

Phone

(336) 774-8636

Fax

(336) 774-0265

NPI assigned

Jun 23, 2006

Organization subpart

No

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

Authorized official

Name

Christine Yuengel-Bienenfeld, M.D.NPI 1982678934

Title

Owner

Phone

(336) 774-8636

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christine A Yuengel-Bienenfeld, M.D.

  • Dermatology Physician
  • Winston-Salem, NC
  • NPI 1982678934
  Medicare reassignment Care Compare group NPD Authorized official
• Lindsay A Belden, ANP-BC

  • Adult Health Nurse Practitioner
  • Charlotte, NC
  • NPI 1619257474
  Medicare reassignment Care Compare group NPD
• Alexandra Pressley Levitt

  • Physician Assistant
  • Winston Salem, NC
  • NPI 1437614773
  Medicare reassignment Care Compare group NPD
• Brittany N Axner, PAC

  • Physician Assistant
  • Greensboro, NC
  • NPI 1194133108
  Medicare reassignment Care Compare group
• Tiffany Gann, PA

  • Physician Assistant
  • Eden, NC
  • NPI 1447673975
  Medicare reassignment Care Compare group
• Jamie Deal Schaaf, PA-C

  • Physician Assistant
  • Winston Salem, NC
  • NPI 1437696911
  Medicare reassignment Care Compare group
• Jennifer Natashsa David, D.O.

  • Dermatology Physician
  • Greensboro, NC
  • NPI 1740571496
  Medicare reassignment NPD

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407283200000",
    "number": "1073549150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 WESTGATE CENTER DR., STE. 200",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "27103",
            "telephone_number": "336-774-8636",
            "fax_number": "336-774-0265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 WESTGATE CENTER DR., STE. 200",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "27103",
            "telephone_number": "336-774-8636",
            "fax_number": "336-774-0265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINSTON SALEM DERMATOLOGY & SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-23",
        "last_updated": "2014-08-06",
        "status": "A",
        "authorized_official_last_name": "YUENGEL-BIENENFELD",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-774-8636",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "NC",
            "license": "9601111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "017G0",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Winston Eye Associates OD PA
• Winston Hearing Care Inc
• Winston Neurology, PA
• Winston Neurology, PA
• Winston Psychiatric Associates PA
• Winston Salem Healthcare LLC
• Winston Salem Holdings LLC
• Winston Salem Industries for the Blind
• Winston Salem Optometric Group PA
• Winston Salem Rehab Operations LLC

• Dermatology Physician in Winston-Salem, NC
• Providers in Winston-Salem, NC by specialty
• Dermatology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.