Sarah Kathryn Bolen, M.D.
Individual provider Active NPI Pediatrics Physician · Lexington, NC
NPI 1184945933 · NPPES record last updated Jul 8, 2014
Key facts
- NPI
- 1184945933
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 2013-00396 (NC)
- Practice address
- 8 Medical Park Drive
Pediatrics-Lexington
Lexington, NC 27292 - Phone
- (336) 249-4911
- NPI assigned
- Jun 16, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2013-00396 | NC | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sweetgrass Pediatrics | Pediatrics | Past | Accepting new patients |
| Wake Forest University Health Sciences | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 2013-00396 | NC | Yes |
Addresses
Primary practice location
8 Medical Park Drive
Pediatrics-Lexington
Lexington, NC 27292
Mailing address
Medical Center Blvd
Winston Salem, NC 27157-0001
Phone (336) 716-2011
Other providers in Lexington, NC
- James Franklin Black
- William Griffith Blackard Jr.
- Andrew Blish
- Katie L Bloodworth
- Brie Ann Bolander
- Karl E Bolstad
- Blake Bond
- Virginia Brooke Booher
- Bostick Transportation Services Inc
- Douglas Glenn Bostick
All providers in Lexington, NC · Pediatrics Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.