NPIMap

Organization Active NPI

Wake Forest University Health Sciences

  • Multi-Specialty Clinic/Center
  • Lexington, NC
National Provider Identifier
1639454499
Registry record updated Feb 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
WAKE FOREST UNIVERSITY HEALTH SCIENCES
Practice address
1303 Greensboro Street Ext
Lexington, NC 27295-1924
Phone
(336) 716-2255
Fax
(336) 716-3202
NPI assigned
Oct 12, 2011
Last updated
Feb 8, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
WAKE FOREST UNIVERSITY HEALTH SCIENCESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 8, 2012

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

Authorized official

Name
Thomas E Sibert, MDNPI 1215177001
Title
President & Coo
Phone
(336) 716-2255

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X NU Primary

Addresses

Primary practice location

1303 Greensboro Street Ext
Lexington, NC 27295-1924

Mailing address

Wake Forest University Health Sciences
PO Box 890355
Charlotte, NC 28289-0355
Phone (336) 716-2255

Other names 1

  • WFUHS - LexMedical Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031105000436 NC Part B Supplier - Clinic/Group Practice 4486564952 Receives reassigned benefits from 3,530 practitioners
9 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

Other NPIs on the same Medicare enrollment 9

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Brenner Fit

Locations

2 Hospital Dr
Lexington, NC 27292
Phone (336) 243-2436

Practitioners & affiliated clinicians

Practitioners 83

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.

View all 83

NPI Registry JSON

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

{
    "created_epoch": "1318377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328659200000",
    "number": "1639454499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "WAKE FOREST UNIVERSITY HEALTH SCIENCES",
            "address_2": "PO BOX 890355",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282890355",
            "telephone_number": "336-716-2255",
            "fax_number": "336-716-3202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 GREENSBORO STREET EXT",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "272951924",
            "telephone_number": "336-716-2255",
            "fax_number": "336-716-3202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAKE FOREST UNIVERSITY HEALTH SCIENCES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WAKE FOREST UNIVERSITY HEALTH SCIENCES",
        "enumeration_date": "2011-10-12",
        "last_updated": "2012-02-08",
        "status": "A",
        "authorized_official_last_name": "SIBERT",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT & COO",
        "authorized_official_telephone_number": "336-716-2255",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WFUHS - LexMedical",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lexington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.