Provider Type Icon

WAKE FOREST HEALTH NETWORK LLC NPI 1588859466


NPI Information

NPI: 1588859466
Provider Name: WAKE FOREST HEALTH NETWORK LLC

Doing Business As: ATRIUM HEALTH WAKE FOREST BAPTIST INTERNAL MEDICINE - ASHEBORO

Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 34D2290994

Address:
327 ROCK CRUSHER RD
ASHEBORO, NC
ZIP 27203
Phone: (336) 636-5546
Get Directions

WAKE FOREST HEALTH NETWORK LLC is an internal medicine in Asheboro, NC. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. WAKE FOREST HEALTH NETWORK LLC NPI is 1588859466. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Atrium Health Wake Forest Baptist Internal Medicine - Asheboro.

The provider's business location address is:

327 ROCK CRUSHER RD
ASHEBORO, NC
ZIP 27203-477
Phone: (336) 636-5546
Fax: (336) 636-5145

The provider's authorized official is Russell Mars Howerton .
The authorized official title is Sr Vp Network Phys & Hs Cmo and has the following contact phone number (336) 716-1331.

The CLIA number assigned to this NPI record is 34D2290994 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/13/2007 and was last updated on 11/8/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1CB8658OTHERNORTH CAROLINARR MEDICARE GROUP
2CC4241OTHERNORTH CAROLINARR MEDICARE
35908153MEDICAIDNORTH CAROLINA
4CC4243OTHERNORTH CAROLINARR MEDICARE
5CD6614OTHERNORTH CAROLINARR MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.