Toni Wymer, M.D. LTD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

33772 Issued in NC

Legal business name

TONI WYMER, M.D. LTD

Practice address

201 Executive Park Blvd
Winston Salem, NC 27103-1503

Phone

(336) 774-0920

Fax

(336) 774-9012

NPI assigned

Feb 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Antoinette Wymer, M.D.

Title

Its President

Phone

(336) 774-0290

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Antoinette Wymer M.D. Other name

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300665600000",
    "number": "1972639854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 EXECUTIVE PARK BLVD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031503",
            "telephone_number": "336-774-9000",
            "fax_number": "336-774-9012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 EXECUTIVE PARK BLVD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031503",
            "telephone_number": "336-774-0920",
            "fax_number": "336-774-9012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TONI WYMER, M.D. LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2011-03-21",
        "status": "A",
        "authorized_official_last_name": "WYMER",
        "authorized_official_first_name": "ANTOINETTE",
        "authorized_official_title_or_position": "ITS PRESIDENT",
        "authorized_official_telephone_number": "336-774-0290",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "33772",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "33772",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Antoinette Wymer M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Katy L Tolliver, LCSW
• Shauna Moore Tolliver, LCSWA
• Faith Tomblin, RDCS
• Jaden Toney
• Chuanyao Tong, MD
• Ashley Maner Tonidandel, MD
• Kelly Ann Tonkin, CRNA
• Anthony Tonos, MD
• Tony Porter, DDS, PA
• Top Priority Care Services

• Internal Medicine Physician in Winston Salem, NC
• Providers in Winston Salem, 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 Mar 21, 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.