Wilkes Physician Network, Inc.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

WILKES PHYSICIAN NETWORK, INC.

Doing business as

Wilkes Regional Gastroenterology

Practice address

1404 Willow LN
Wilkes Regional Gastroenterology
North Wilkesboro, NC 28659-3584

Phone

(336) 651-3603

Fax

(336) 651-3610

NPI assigned

Jan 19, 2010

Last updated

Aug 23, 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. VP

Phone

(704) 403-4146

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Wilkes Regional Gastroenterology 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": "1263859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282521600000",
    "number": "1659602449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1404 WILLOW LN",
            "address_2": "WILKES REGIONAL GASTROENTEROLOGY",
            "city": "NORTH WILKESBORO",
            "state": "NC",
            "postal_code": "286593584",
            "telephone_number": "336-651-3603",
            "fax_number": "336-651-3610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 WILLOW LN",
            "address_2": "WILKES REGIONAL GASTROENTEROLOGY",
            "city": "NORTH WILKESBORO",
            "state": "NC",
            "postal_code": "286593584",
            "telephone_number": "336-651-3603",
            "fax_number": "336-651-3610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILKES PHYSICIAN NETWORK, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WILKES PHYSICIAN NETWORK, INC.",
        "enumeration_date": "2010-01-19",
        "last_updated": "2010-08-23",
        "status": "A",
        "authorized_official_last_name": "LOWDER",
        "authorized_official_first_name": "FRIEDA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SR. VP",
        "authorized_official_telephone_number": "704-403-4146"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5914561",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "2335816",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wilkes Regional Gastroenterology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 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. (Wound Healing Center of Wilkes Regional Medical Center)
• Wilkes Physician Network, Inc. (Orthopaedic Specialists of Wilkes)
• Wilkes Physician Network, Inc. (Greenway Healthcare)
• Wilkes Physician Network, Inc. (Wilkes Adult and Pediatric Medicine)
• Wilkes Physician Network, Inc. (Northwest Carolina Women's Center)
• Wilkes Physician Network, Inc. (Rock Creek Family Medicine and Urgent Care)
• Wilkes Physician Network, Inc.,

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.