Organization Active NPI

Winston Neurology, PA

  • Durable Medical Equipment & Medical Supplies
  • Winston Salem, NC
National Provider Identifier
1285709469
Registry record updated Nov 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
9500979 Issued in NC
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

Updated by the provider on Nov 5, 2009

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
89013MXMedicaidNC
4681210001OtherNCPALMETTO DME #

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "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.

Verify at the official NPI Registry.