Wilkes Physician Network, Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

WILKES PHYSICIAN NETWORK, INC.

Doing business as

Wilkes Adult and Pediatric Medicine

Practice address

1915 West Park Dr
Suite 103
North Wilkesboro, NC 28659-3777

Phone

(336) 838-9553

Fax

(336) 838-9563

NPI assigned

Jan 7, 2011

Last updated

Jun 30, 2011By 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 2

Addresses

Other identifiers 1

Other names 1

• Wilkes Adult and Pediatric Medicine 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": "1294358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309392000000",
    "number": "1750685533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 WEST PARK DR",
            "address_2": "SUITE 103",
            "city": "NORTH WILKESBORO",
            "state": "NC",
            "postal_code": "286593777",
            "telephone_number": "336-838-9553",
            "fax_number": "336-838-9563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 WEST PARK DR",
            "address_2": "SUITE 103",
            "city": "NORTH WILKESBORO",
            "state": "NC",
            "postal_code": "286593777",
            "telephone_number": "336-838-9553",
            "fax_number": "336-838-9563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILKES PHYSICIAN NETWORK, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WILKES PHYSICIAN NETWORK, INC.",
        "enumeration_date": "2011-01-07",
        "last_updated": "2011-06-30",
        "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": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5917190",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wilkes Adult and Pediatric Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 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. (Wilkes Regional Gastroenterology)
• Wilkes Physician Network, Inc. (Greenway Healthcare)
• Wilkes Physician Network, Inc. (Northwest Carolina Women's Center)
• Wilkes Physician Network, Inc. (Rock Creek Family Medicine and Urgent Care)
• Wilkes Physician Network, Inc.,
• Wilkes Recovery Revolution, Inc.
• Wilkes Regional Physicians, Inc. (Wilkes Surgical Specialists)

• Internal Medicine Physician in North Wilkesboro, NC
• Providers in North Wilkesboro, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2011; 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.