Wilkes Physician Network, Inc.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

WILKES PHYSICIAN NETWORK, INC.

Doing business as

Wound Healing Center of Wilkes Regional Medical Center

Practice address

1900 W Park Dr
Suite-B
North Wilkesboro, NC 28659-3563

Phone

(336) 903-7100

Fax

(336) 903-7147

NPI assigned

Nov 1, 2012

Last updated

Jan 18, 2013By 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 5

Addresses

Other identifiers 2

Other names 1

• Wound Healing Center of Wilkes Regional Medical Center 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

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

{
    "created_epoch": "1351728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358467200000",
    "number": "1588918338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 W PARK DR",
            "address_2": "SUITE-B",
            "city": "NORTH WILKESBORO",
            "state": "NC",
            "postal_code": "286593563",
            "telephone_number": "336-903-7100",
            "fax_number": "336-903-7147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 W PARK DR",
            "address_2": "SUITE-B",
            "city": "NORTH WILKESBORO",
            "state": "NC",
            "postal_code": "286593563",
            "telephone_number": "336-903-7100",
            "fax_number": "336-903-7147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILKES PHYSICIAN NETWORK, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WILKES PHYSICIAN NETWORK, INC.",
        "enumeration_date": "2012-11-01",
        "last_updated": "2013-01-18",
        "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": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN, GROUP (WPN)",
            "identifier": "2335816",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5922043",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wound Healing Center of Wilkes Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 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. (Urgent Care of Wilkes)
• 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)
• Wilkes Physician Network, Inc. (Northwest Carolina Women's Center)

• Surgery Physician in North Wilkesboro, NC
• Providers in North Wilkesboro, NC by specialty
• Surgery Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2013; 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.