Wake Forest Health Network Llc, NPI 1013031301
Diagnostic Radiology Physician in High Point, NC, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1013031301 |
| NPI Entity Type | Organization |
| Provider Name |
Wake Forest Health Network Llc
Doing Business As |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Certification Date | September 30, 2009 |
| Provider Location Address | 1814 Westchester Drive, Suite 200, High Point, NC, US |
| Provider Mailing Address | 100 Kimel Forest Dr, Winston Salem, NC, US, 271036074 |
| Gender | Male |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | MD Russell Mars Howerton |
| Official Position | SR VP NETWORK PHYS & HS CMO |
| Phone | 336-716-1331 |
Group Taxonomy
| Taxonomy Code | 193200000X |
| Taxonomy Name | 193200000X MULTI-SPECIALTY GROUP |
| Definition | A business group of one or more individual practitioners, who practice with different areas of specialization. |
| Taxonomy Code | 193400000X |
| Taxonomy Name | 193400000X SINGLE SPECIALTY GROUP |
| Definition | A business group of one or more individual practitioners, all of who practice with the same area of specialization. |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Diagnostic Radiology Physician |
| Classification | |
| Group | |
| Description | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| CC4241 | NC | RR MEDICARE | 01 |
| CC4242 | NC | RR MEDICARE | 01 |
| CC5472 | NC | RRMC | 01 |
| 23180 | MEDCOST | 01 | |
| D266 | NC | PARTNERS MEDICARE CHOICE | 01 |
| CC6608 | NC | RR MEDICARE | 01 |
| CD6614 | NC | RRMC | 01 |
| 0275Q | NC | BCBS | 01 |
| 89012U2 | NC | MEDICAID | 05 |
| CC4243 | NC | RR MEDICARE | 01 |
| 271662 | MAMSI | 01 | |
| CB8658 | NC | RRMC | 01 |
| 7262737 | AETNA | 01 | |
| 89012U1 | NC | MEDICAID | 05 |
| CF9200 | NC | RRMC | 01 |
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MR. LCAS, LCSW Michael Anthony Brown Individual |
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MSW Erika Paulyne Branch Individual |
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MOT, OTR/L Georgia Brooke Thigpen Individual |
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Connie J Albritton Individual |
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M.ED. Byron Turner Individual |
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PT Leslie Michelle Murray Mullins Individual |
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