Organization Active NPI

Physicians Home Visits, PC

  • Adult Medicine Physician
  • Winston Salem, NC
National Provider Identifier
1083899009
Registry record updated Nov 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
Legal business name
PHYSICIANS HOME VISITS, PC
Practice address
3069 Trenwest Dr
Ste 200
Winston Salem, NC 27103-3211
Phone
(336) 993-3146
Fax
(336) 992-3930
NPI assigned
Jan 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2014

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

Authorized official

Name
Henry F Tripp Jr., M.D.
Title
Director
Phone
(336) 993-3146

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QA0505X Primary

Addresses

Primary practice location

3069 Trenwest Dr
Ste 200
Winston Salem, NC 27103-3211

Mailing address

3069 Trenwest Dr
Ste 200
Winston Salem, NC 27103-3211
Phone (336) 993-3146

Other identifiers 3

IdentifierTypeStateIssuer
023C9OtherNCBCBS
5950484MedicaidNC
34D1105236OtherNCCLIA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1199836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416096000000",
    "number": "1083899009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3069 TRENWEST DR",
            "address_2": "STE 200",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033211",
            "telephone_number": "336-993-3146",
            "fax_number": "336-992-3930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3069 TRENWEST DR",
            "address_2": "STE 200",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033211",
            "telephone_number": "336-993-3146",
            "fax_number": "336-992-3930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS HOME VISITS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-09",
        "last_updated": "2014-11-16",
        "status": "A",
        "authorized_official_last_name": "TRIPP",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "336-993-3146",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "023C9",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5950484",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "34D1105236",
            "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 Nov 16, 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.