Individual provider Active NPI

Patrik Erik Stridh, PA-C

  • Physician Assistant
  • Winston Salem, NC
National Provider Identifier
1699013995
Registry record updated Dec 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-04043 Issued in NC
Practice address
Wake Forest School of Medicine
Department of Orthopaedic Surgery
Winston Salem, NC 27157-1070
Phone
(336) 716-2878
Fax
(336) 716-6286
NPI assigned
Jan 21, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-04043 NC Primary

Addresses

Primary practice location

Wake Forest School of Medicine
Department of Orthopaedic Surgery
Winston Salem, NC 27157-1070

Mailing address

Wake Forest School of Medicine
Department of Orthopaedic Surgery
Winston Salem, NC 27157-1070
Phone (336) 716-2878

Other identifiers 1

IdentifierTypeStateIssuer
0010-04043OtherNCNC MEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130226000267 NC Practitioner - Physician Assistant 4880849777 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Brody School of Medicine at East Carolina University, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

Medical Ctr Blvd
Winston Salem, NC 27157-0001
Phone (336) 716-2734

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Forest University Health Sciences CurrentSince Dec 19, 2016 Accepting new patients

Locations

Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1358726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481760000000",
    "number": "1699013995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "WAKE FOREST SCHOOL OF MEDICINE",
            "address_2": "DEPARTMENT OF ORTHOPAEDIC SURGERY",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271571070",
            "telephone_number": "336-716-2878",
            "fax_number": "336-716-6286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WAKE FOREST SCHOOL OF MEDICINE",
            "address_2": "DEPARTMENT OF ORTHOPAEDIC SURGERY",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271571070",
            "telephone_number": "336-716-2878",
            "fax_number": "336-716-6286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRIDH",
        "first_name": "PATRIK",
        "middle_name": "ERIK",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-21",
        "last_updated": "2016-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-04043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC MEDICAL LICENSE",
            "identifier": "0010-04043",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.