NPIMap

Organization Active NPI

Piedmont Stone Center PLLC

  • Lithotripsy Clinic/Center
  • Winston-Salem, NC
National Provider Identifier
1700827409
Registry record updated Feb 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lithotripsy Clinic/CenterTaxonomy code 261QL0400X
Legal business name
PIEDMONT STONE CENTER PLLC
Practice address
1907 South Hawthorne Rd
Winston-Salem, NC 27103
Phone
(336) 765-6373
Fax
(336) 765-6436
NPI assigned
Jun 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2019

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

Authorized official

Name
Mr. Charles H Hauser
Title
Ceo
Phone
(336) 714-2500

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208800000X
Lithotripsy Clinic/Center 261QL0400X Primary

Addresses

Primary practice location

1907 South Hawthorne Rd
Winston-Salem, NC 27103

Mailing address

PO Box 25866
Winston-Salem, NC 27114-5866
Phone (336) 714-2500

Other identifiers 1

IdentifierTypeStateIssuer
012AFOtherBCBSNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031107000688 NC Part B Supplier - Clinic/Group Practice 2961315718 Receives reassigned benefits from 80 practitioners
Practice locations: Mount Airy, NC; North Wilkesboro, NC; Reidsville, NC; Salisbury, NC; Statesville, NC; Thomasville, NC; Valdese, NC; Winston Salem, NC…
O20031124000526 VA Part B Supplier - Clinic/Group Practice 2961315718 Receives reassigned benefits from 21 practitioners
Practice locations: Blacksburg, VA; Charlottesville, VA; Christiansburg, VA; Danville, VA; Galax, VA; Lexington, VA; Lynchburg, VA; Martinsville, VA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D0237592Piedmont Stone Center1907 South Hawthorne Road, Winston Salem, NC 27103Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Piedmont Stone Center17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

Locations

366 Deerfield Rd
Boone, NC 28607

600 N Lindsay St
High Point, NC 27262
Phone (336) 878-6068

1907 S Hawthorne Rd
#103104
Winston Salem, NC 27103

300 Medical Center Blvd
Winston Salem, NC 27157
Phone (336) 716-3100

2010 Baldwin Ln
Winston Salem, NC 27103
Phone (336) 277-1717

1907 S Hawthorne Rd
Winston Salem, NC 27103

500 Martha Jefferson Dr
Ste 315A
Charlottesville, VA 22911
Phone (434) 654-8390

Practitioners & affiliated clinicians

Practitioners 143

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 143

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550534400000",
    "number": "1700827409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25866",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "271145866",
            "telephone_number": "336-714-2500",
            "fax_number": "336-714-2556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1907 SOUTH HAWTHORNE RD",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "27103",
            "telephone_number": "336-765-6373",
            "fax_number": "336-765-6436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIEDMONT STONE CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2019-02-19",
        "status": "A",
        "authorized_official_last_name": "HAUSER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "336-714-2500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QL0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Lithotripsy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "012AF",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston-Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.