Wake Forest University Baptist Medical Center Community Physicians

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER COMMUNITY PHYSICIANS

Doing business as

Hillsdale Family Practice

Practice address

5391 US Highway 158
Advance, NC 27006-6907

Phone

(336) 940-2290

Fax

(336) 940-2561

NPI assigned

Oct 1, 2007

Organization subpart

Yes

Parent organization

WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER COMMUNITY PHYSICIANSAs reported in NPPES

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

Authorized official

Name

Lewis S Thorp III

Title

President/Ceo

Phone

(336) 721-3900

Specialties & licenses 1

Addresses

Other names 1

• Hillsdale Family Practice Doing business as

Part of

Argis Family Health Cente

Locations

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.

• Wake Forest University Baptist Medical Center Community Physicians

  dba Young Family Practice

  • Family Medicine Physician
  • Statesville, NC
  • NPI 1417940636
  NPPES parent name

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191196800000",
    "number": "1871780148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5391 US HIGHWAY 158",
            "city": "ADVANCE",
            "state": "NC",
            "postal_code": "270066907",
            "telephone_number": "336-940-2290",
            "fax_number": "336-940-2561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5391 US HIGHWAY 158",
            "city": "ADVANCE",
            "state": "NC",
            "postal_code": "270066907",
            "telephone_number": "336-940-2290",
            "fax_number": "336-940-2561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER COMMUNITY PHYSICIANS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER COMMUNITY PHYSICIANS",
        "enumeration_date": "2007-10-01",
        "last_updated": "2007-10-01",
        "status": "A",
        "authorized_official_last_name": "THORP",
        "authorized_official_first_name": "LEWIS",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "336-721-3900",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hillsdale Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Franklin Lee Tolbert, MD
• Maria Ann Trowbridge, OTR/L
• Lisa Ann Vanetten, OTR
• Ryan Carpenter Vann, PA-C
• Frankie Vaughn
• Wake Forest University Health Sciences (Ashley Furniture Wellness Center)
• Wake Forest University Health Sciences (Orthopaedic & Sports Medicine - RISE)
• Walgreen Co (Rite Aid)
• Walgreen Co (Walgreens #10674)
• Walgreen Co (Rite Aid)

• Family Medicine Physician in Advance, NC
• Providers in Advance, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.