Jay Anthony Requarth, MD | |
Medical Center Blvd, Winston Salem, NC 27157-0001 | |
(336) 716-2255 | |
Not Available |
Full Name | Jay Anthony Requarth |
---|---|
Gender | Male |
Speciality | Radiology - Vascular & Interventional Radiology |
Location | Medical Center Blvd, Winston Salem, North Carolina |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033147657 | NPI | - | NPPES |
4556618 | Other | AETNA | |
189351 | Other | MEDCOST | |
5904790 | Medicaid | NC | |
86138000 | Medicaid | WV | |
10411491 | Medicaid | VA | |
142J0 | Other | BCBS | |
808939 | Other | PARTNERS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0204X | Radiology - Vascular & Interventional Radiology | 2005-00403 (North Carolina) | Primary |
Mailing Address | Practice Location Address |
---|---|
Jay Anthony Requarth, MD Po Box 344, Winston-salem, NC 27102-0344 Ph: (336) 716-2255 | Jay Anthony Requarth, MD Medical Center Blvd, Winston Salem, NC 27157-0001 Ph: (336) 716-2255 |
Janet K. Horton, MD Radiology Medicare: Medicare Enrolled Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255 | |
Caroline Chiles, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255 | |
Dr. James L Sanderford Jr., MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1365 Westgate Center Dr, Suite K-1, Winston Salem, NC 27103 Phone: 336-760-4450 Fax: 336-760-6197 | |
Dr. Tatum S Johnson, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255 Fax: 336-716-3202 | |
Jao Ou, Radiology Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2011 | |
Dr. Constantinos Theodoros Spyris, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3010 Trenwest Dr Ste 200, Winston Salem, NC 27103 Phone: 336-970-5300 Fax: 336-970-5298 | |
Dr. Marcella Maria Butler, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3155 Maplewood Ave, Winston Salem, NC 27103 Phone: 336-794-4372 Fax: 336-659-2379 |