Organization Active NPI

Ardmore Travel Health

  • Clinic/Center
  • Winston Salem, NC
National Provider Identifier
1902194426
Registry record updated Jul 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
ARDMORE TRAVEL HEALTH
Doing business as
Passport Health Triad
Practice address
3722 Vest Mill Rd
Winston Salem, NC 27103-2912
Phone
(336) 768-0717
Fax
(336) 768-0718
NPI assigned
Jul 18, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2011

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

Authorized official

Name
Amy Caroline Sapp, MD
Title
Medical Director
Phone
(336) 768-0717

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

3722 Vest Mill Rd
Winston Salem, NC 27103-2912

Mailing address

3722 Vest Mill Rd
Winston Salem, NC 27103-2912
Phone (336) 768-0717

Other names 1

  • Passport Health Triad Doing business as

National Provider Directory

National Provider Directory

Locations

3722 Vest Mill Rd
Winston Salem, NC 27103
Phone (336) 768-0717

NPI Registry JSON

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

{
    "created_epoch": "1310947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310947200000",
    "number": "1902194426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3722 VEST MILL RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271032912",
            "telephone_number": "336-768-0717",
            "fax_number": "336-768-0718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3722 VEST MILL RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271032912",
            "telephone_number": "336-768-0717",
            "fax_number": "336-768-0718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARDMORE TRAVEL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-18",
        "last_updated": "2011-07-18",
        "status": "A",
        "authorized_official_last_name": "SAPP",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "CAROLINE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "336-768-0717",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Passport Health Triad",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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, 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.