Active NPI
Wayne Vonseggen, PA-C
- Physician Assistant
- Winston-Salem, NC
National Provider Identifier
1861611527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 100203
- Practice address
- Wfu Baptist Medical Center
Medical Center Blvd
Winston-Salem, NC 27157-0000 - Phone
- (336) 716-9992
- Fax
- (336) 716-6127
- NPI assigned
- Apr 24, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 100203 | NC | Primary |
Addresses
Primary practice location
Wfu Baptist Medical Center
Medical Center Blvd
Winston-Salem, NC 27157-0000
Mailing address
4550 Greenfield Way Dr
Winston Salem, NC 27103-9757
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 100203 | NC | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184716800000",
"number": "1861611527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4550 GREENFIELD WAY DR",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271039757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "WFU BAPTIST MEDICAL CENTER",
"address_2": "MEDICAL CENTER BLVD",
"city": "WINSTON-SALEM",
"state": "NC",
"postal_code": "271570000",
"telephone_number": "336-716-9992",
"fax_number": "336-716-6127"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VONSEGGEN",
"first_name": "WAYNE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-24",
"last_updated": "2007-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "100203",
"primary": true
}
],
"identifiers": [],
"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 Jul 18, 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.