NPIMap

Organization Active NPI

Wake Forest University, Baptist Medical Center

  • General Acute Care Hospital
  • Winston Salem, NC
National Provider Identifier
1740477256
Registry record updated Sep 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
00746 Issued in NC
Legal business name
WAKE FOREST UNIVERSITY, BAPTIST MEDICAL CENTER
Practice address
Medical Center Boulevard Wake Forest University
Hematology and Oncology
Winston Salem, NC 27157-0001
Phone
(336) 716-6777
NPI assigned
Sep 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2007

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

Authorized official

Name
Mrs. Beth Donnelly
Title
Fellowship Program Coordinator
Phone
(336) 716-6777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 00746 NC Primary

Addresses

Primary practice location

Medical Center Boulevard Wake Forest University
Hematology and Oncology
Winston Salem, NC 27157-0001

Mailing address

Medical Center Boulevard Wake Forest University
Hematology and Oncology
Winston Salem, NC 27157-0001
Phone (336) 716-6777

Other identifiers 1

IdentifierTypeStateIssuer
52163BOtherNCUPIN

National Provider Directory

National Provider Directory

Locations

Medical Ctr Blvd Wake Frst University
Winston Salem, NC 27157
Phone (336) 716-6777

NPI Registry JSON

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

{
    "created_epoch": "1190937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190937600000",
    "number": "1740477256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MEDICAL CENTER BOULEVARD WAKE FOREST UNIVERSITY",
            "address_2": "HEMATOLOGY AND ONCOLOGY",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271570001",
            "telephone_number": "336-716-6777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MEDICAL CENTER BOULEVARD WAKE FOREST UNIVERSITY",
            "address_2": "HEMATOLOGY AND ONCOLOGY",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271570001",
            "telephone_number": "336-716-6777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAKE FOREST UNIVERSITY, BAPTIST MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-28",
        "last_updated": "2007-09-28",
        "status": "A",
        "authorized_official_last_name": "DONNELLY",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "FELLOWSHIP PROGRAM COORDINATOR",
        "authorized_official_telephone_number": "336-716-6777",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NC",
            "license": "00746",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "52163B",
            "state": "NC"
        }
    ],
    "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 Sep 28, 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.