NPIMap

Organization Active NPI

Whap PA

Doing business as Herbert A Soper MD

  • Gynecology Physician
  • Winston Salem, NC
National Provider Identifier
1235120700
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
15372 Issued in NC
Legal business name
WHAP PA
Doing business as
Herbert A Soper MD
Practice address
1901 S Hawthorne Rd
Ste 320
Winston Salem, NC 27103-3921
Phone
(336) 768-1180
Fax
(336) 768-8053
NPI assigned
Nov 2, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Michelle Lynn Wallace
Title
Manager
Phone
(336) 768-1180

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 15372 NC Primary

Addresses

Primary practice location

1901 S Hawthorne Rd
Ste 320
Winston Salem, NC 27103-3921

Mailing address

1901 S Hawthorne Rd
Ste 320
Winston Salem, NC 27103-3921
Phone (336) 768-1180

Other identifiers 1

IdentifierTypeStateIssuer
8978410MedicaidNC

Other names 1

  • Herbert A Soper MD Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lynhurst Gynecologic As3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1901 S Hawthorne Rd
Ste 320
Winston Salem, NC 27103
Phone (336) 768-1180

NPI Registry JSON

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235120700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 S HAWTHORNE RD",
            "address_2": "STE 320",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033921",
            "telephone_number": "336-768-1180",
            "fax_number": "336-768-8053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 S HAWTHORNE RD",
            "address_2": "STE 320",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033921",
            "telephone_number": "336-768-1180",
            "fax_number": "336-768-8053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHAP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "336-768-1180",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NC",
            "license": "15372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8978410",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Herbert A Soper MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2020; 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.