Wilkes Physician Network, Inc.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

WILKES PHYSICIAN NETWORK, INC.

Doing business as

Urgent Care of Wilkes

Practice address

1900 W Park Dr
Urgent Care of Wilkes
North Wilkesboro, NC 28659-3563

Phone

(336) 903-6840

Fax

(336) 903-6841

NPI assigned

Aug 4, 2010

Last updated

Nov 29, 2010By the provider in NPPES

Organization subpart

Yes

Parent organization

WILKES PHYSICIAN NETWORK, INC.As reported in NPPES

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

Authorized official

Name

Frieda M Lowder

Title

Sr. Vice President

Phone

(704) 403-4146

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Urgent Care of Wilkes Doing business as

Part of

Wilkes Physician Network in

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Wilkes Physician Network, Inc.,

  • Surgery Physician
  • North Wilkesboro, NC
  • NPI 1215192893
  NPPES parent name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Steven R. Anderson, MD

  • Orthopaedic Surgery Physician
  • North Wilkesboro, NC
  • NPI 1295853018
  NPD (past)
• Denise Johnston, NP

  • Nurse Practitioner
  • North Wilkesboro, NC
  • NPI 1255311320
  NPD (past)

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

{
    "created_epoch": "1280880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290988800000",
    "number": "1427362235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 W PARK DR",
            "address_2": "URGENT CARE OF WILKES",
            "city": "NORTH WILKESBORO",
            "state": "NC",
            "postal_code": "286593563",
            "telephone_number": "336-903-6840",
            "fax_number": "336-903-6841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 W PARK DR",
            "address_2": "URGENT CARE OF WILKES",
            "city": "NORTH WILKESBORO",
            "state": "NC",
            "postal_code": "286593563",
            "telephone_number": "336-903-6840",
            "fax_number": "336-903-6841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILKES PHYSICIAN NETWORK, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WILKES PHYSICIAN NETWORK, INC.",
        "enumeration_date": "2010-08-04",
        "last_updated": "2010-11-29",
        "status": "A",
        "authorized_official_last_name": "LOWDER",
        "authorized_official_first_name": "FRIEDA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SR. VICE PRESIDENT",
        "authorized_official_telephone_number": "704-403-4146"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5915539",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN, GROUP",
            "identifier": "2335816",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Urgent Care of Wilkes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wilkes Physician Network, Inc. (Wilkes Regional ENT & Sleep Medicine)
• Wilkes Physician Network, Inc. (Wilkes Regional Family Medicine)
• Wilkes Physician Network, Inc. (Carolinas Hospitalist Group-Wilkes)
• Wilkes Physician Network, Inc. (Wilkes Regional Hospitalist Group)
• Wilkes Physician Network, Inc. (Wilkes Family Health Center)
• Wilkes Physician Network, Inc. (Wound Healing Center of Wilkes Regional Medical Center)
• Wilkes Physician Network, Inc. (Orthopaedic Specialists of Wilkes)
• Wilkes Physician Network, Inc. (Wilkes Regional Gastroenterology)
• Wilkes Physician Network, Inc. (Greenway Healthcare)
• Wilkes Physician Network, Inc. (Wilkes Adult and Pediatric Medicine)

• Emergency Medicine Physician in North Wilkesboro, NC
• Providers in North Wilkesboro, NC by specialty
• Emergency Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2010; 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.