Organization Active NPI

Wilkes Physician Network, Inc.

Doing business as Orthopaedic Specialists of Wilkes

  • Orthopaedic Surgery Physician
  • North Wilkesboro, NC
National Provider Identifier
1639302086
Registry record updated Sep 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
WILKES PHYSICIAN NETWORK, INC.
Doing business as
Orthopaedic Specialists of Wilkes
Practice address
1917 W Park Dr
Orthopaedic Specialists of Wilkes
North Wilkesboro, NC 28659-3585
Phone
(336) 903-7845
Fax
(336) 903-7841
NPI assigned
Sep 2, 2009
Last updated
Sep 2, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
WILKES PHYSICIAN NETWORK, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 2, 2009

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

Authorized official

Name
Frieda Lowder
Title
Sr Vice President
Phone
(704) 403-4146

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

1917 W Park Dr
Orthopaedic Specialists of Wilkes
North Wilkesboro, NC 28659-3585

Mailing address

1917 W Park Dr
Orthopaedic Specialists of Wilkes
North Wilkesboro, NC 28659-3585
Phone (336) 903-7845

Other identifiers 1

IdentifierTypeStateIssuer
2335816OtherNCMEDICARE GROUP PTAN

Other names 1

  • Orthopaedic Specialists of Wilkes Doing business as

National Provider Directory

National Provider Directory
Part of
Wilkes Physician Network in

Locations

1917 W Park Dr
North Wilkesboro, NC 28659
Phone (336) 903-0147

Ownership & related parties

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.

NPI Registry JSON

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

{
    "created_epoch": "1251849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251849600000",
    "number": "1639302086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1917 W PARK DR",
            "address_2": "ORTHOPAEDIC SPECIALISTS OF WILKES",
            "city": "NORTH WILKESBORO",
            "state": "NC",
            "postal_code": "286593585",
            "telephone_number": "336-903-7845",
            "fax_number": "336-903-7841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1917 W PARK DR",
            "address_2": "ORTHOPAEDIC SPECIALISTS OF WILKES",
            "city": "NORTH WILKESBORO",
            "state": "NC",
            "postal_code": "286593585",
            "telephone_number": "336-903-7845",
            "fax_number": "336-903-7841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILKES PHYSICIAN NETWORK, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WILKES PHYSICIAN NETWORK, INC.",
        "enumeration_date": "2009-09-02",
        "last_updated": "2009-09-02",
        "status": "A",
        "authorized_official_last_name": "LOWDER",
        "authorized_official_first_name": "FRIEDA",
        "authorized_official_title_or_position": "SR VICE PRESIDENT",
        "authorized_official_telephone_number": "704-403-4146"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "2335816",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orthopaedic Specialists of Wilkes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Wilkesboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.