Active NPI
Winston Neurology, PA
- Durable Medical Equipment & Medical Supplies
- Winston Salem, NC
National Provider Identifier
1285709469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 9500979
- Legal business name
- WINSTON NEUROLOGY, PA
- Practice address
- 2933 Maplewood Ave
Suite 1
Winston Salem, NC 27103-4001 - Phone
- (336) 765-5533
- Fax
- (336) 765-5359
- NPI assigned
- Nov 22, 2006
- Reactivated
- Nov 5, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lucie M. Lauve, MD
- Title
- Vice President
- Phone
- (336) 765-5553
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 9500979 | NC | Primary |
Addresses
Primary practice location
2933 Maplewood Ave
Suite 1
Winston Salem, NC 27103-4001
Mailing address
2933 Maplewood Ave
Suite 1
Winston Salem, NC 27103-4001
Phone (336) 765-5533
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89013MX | Medicaid | NC | |
| 4681210001 | Other | NC | PALMETTO DME # |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Sleep Medicine (Psychiatry & Neurology) Physician
- Winston Salem, NC
- NPI 1245298249
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164153600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1257379200000",
"number": "1285709469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2933 MAPLEWOOD AVE",
"address_2": "SUITE 1",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271034001",
"telephone_number": "336-765-5533",
"fax_number": "336-765-5359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2933 MAPLEWOOD AVE",
"address_2": "SUITE 1",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271034001",
"telephone_number": "336-765-5533",
"fax_number": "336-765-5359"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WINSTON NEUROLOGY, PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-22",
"last_updated": "2009-11-05",
"deactivation_date": "2009-09-04",
"reactivation_date": "2009-11-05",
"status": "A",
"authorized_official_last_name": "LAUVE",
"authorized_official_first_name": "LUCIE",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "336-765-5553",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NC",
"license": "9500979",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89013MX",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO DME #",
"identifier": "4681210001",
"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 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.