Wilkes Surgical Associates Inc PA

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

WILKES SURGICAL ASSOCIATES INC PA

Practice address

1201 School St
Suite G
Wilkesboro, NC 28697-2629

Phone

(336) 667-5146

Fax

(336) 667-2931

NPI assigned

Oct 7, 2005

Organization subpart

No

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

Authorized official

Name

John Lawrence Bond Jr., M.D.

Title

President

Phone

(336) 667-5146

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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.

• Mark R. Mattice, NP

  • Nurse Practitioner
  • Winston Salem, NC
  • NPI 1700866431
  NPD (past)

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

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195171200000",
    "number": "1700874369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1128",
            "city": "NORTH WILKESBORO",
            "state": "NC",
            "postal_code": "286591128",
            "telephone_number": "336-667-5146",
            "fax_number": "336-667-2931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 SCHOOL ST",
            "address_2": "SUITE G",
            "city": "WILKESBORO",
            "state": "NC",
            "postal_code": "286972629",
            "telephone_number": "336-667-5146",
            "fax_number": "336-667-2931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILKES SURGICAL ASSOCIATES INC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-07",
        "last_updated": "2007-11-16",
        "status": "A",
        "authorized_official_last_name": "BOND",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-667-5146",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8902938",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "0481610001",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wilkes County DSS
• Wilkes County Health Department
• Wilkes Day Care Association Inc. (Wilkes Developmental Day School)
• Wilkes Family Pharmacy
• Wilkes Pharmacy Inc
• Wilkesboro Clinical Lab LLC
• Wilkesboro Livig Center LLC
• Holly Williams, FNP-C
• Luke Tyler John Wilson, DMD
• Kenneth Shane Wingler, DDS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; 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.