| Wilkes Regional Family Medicine | |
|
200 W Park Cir Suite C North Wilkesboro NC 28659-3541 | |
| (336) 903-8700 | |
| (336) 903-7871 |
| Full Name | Wilkes Regional Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 200 W Park Cir, North Wilkesboro, North Carolina |
| Authorized Official Name and Position | Frieda M Lowder (SR. VICE PRESIDENT) |
| Authorized Official Contact | 7044034146 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wilkes Regional Family Medicine 200 W Park Cir Suite C North Wilkesboro NC 28659-3541 Ph: (336) 903-8700 | Wilkes Regional Family Medicine 200 W Park Cir Suite C North Wilkesboro NC 28659-3541 Ph: (336) 903-8700 |
| NPI Number | 1245496413 |
|---|---|
| Provider Enumeration Date | 08/06/2008 |
| Last Update Date | 02/07/2014 |
| Medicare PECOS PAC ID | 0648348177 |
|---|---|
| Medicare Enrollment ID | O20081009000821 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245496413 | NPI | - | NPPES |
| 5950344 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Amanda Jane Mcneil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558427997 PECOS PAC ID: 2365415981 Enrollment ID: I20040812001423 |
| Provider Name | Peter T Fortkort |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649362138 PECOS PAC ID: 7719930429 Enrollment ID: I20050222000908 |
| Provider Name | Thomas K Mcmahan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306880091 PECOS PAC ID: 8123075751 Enrollment ID: I20050407000252 |
| Provider Name | Michelle L Redman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598857039 PECOS PAC ID: 0244287696 Enrollment ID: I20050407000281 |
| Provider Name | Jerry Lyle Pinkerton |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679571772 PECOS PAC ID: 2668445297 Enrollment ID: I20050426001425 |
| Provider Name | Leslie Ann Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508964297 PECOS PAC ID: 9830091735 Enrollment ID: I20050628001141 |
| Provider Name | David Aaron Rosen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558458463 PECOS PAC ID: 7315974730 Enrollment ID: I20050718000731 |
| Provider Name | Scott C Wilson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1851366421 PECOS PAC ID: 0244299485 Enrollment ID: I20060403000605 |
| Provider Name | Nalini S Baijnath |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578655668 PECOS PAC ID: 4082717400 Enrollment ID: I20070305000670 |
| Provider Name | Lasean Bost Robinson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225045602 PECOS PAC ID: 8527164896 Enrollment ID: I20070502000487 |
| Provider Name | Steven R Anderson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1295853018 PECOS PAC ID: 7517068570 Enrollment ID: I20070720000785 |
| Provider Name | John B Hubbard |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1487875373 PECOS PAC ID: 3072604610 Enrollment ID: I20070810000265 |
| Provider Name | William Keates |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750579942 PECOS PAC ID: 3971673708 Enrollment ID: I20080604000706 |
| Provider Name | Michele Polidoro |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780652909 PECOS PAC ID: 9638242977 Enrollment ID: I20080721000449 |
| Provider Name | Sheetal Haresh Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124132642 PECOS PAC ID: 7911969076 Enrollment ID: I20080904000708 |
| Provider Name | Vipul S Shah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568648335 PECOS PAC ID: 6103994892 Enrollment ID: I20081008000234 |
| Provider Name | Mira Margaret Boone |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053511642 PECOS PAC ID: 1658461710 Enrollment ID: I20081014000507 |
| Provider Name | Simret K Dev-raman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932297991 PECOS PAC ID: 9638183544 Enrollment ID: I20081027000415 |
| Provider Name | Jon Wesley Thompson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659552347 PECOS PAC ID: 5597823195 Enrollment ID: I20081027000422 |
| Provider Name | Mohammad L Garba |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235177809 PECOS PAC ID: 7517998644 Enrollment ID: I20081031000466 |
| Provider Name | Sam S Somsook |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942324926 PECOS PAC ID: 4284711946 Enrollment ID: I20081110000694 |
| Provider Name | Ademola O Aderoju |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1932324985 PECOS PAC ID: 0648331272 Enrollment ID: I20081201000726 |
| Provider Name | Mary K Tucker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942299789 PECOS PAC ID: 1254489594 Enrollment ID: I20090427000074 |
| Provider Name | Rujuta Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497891683 PECOS PAC ID: 4789736273 Enrollment ID: I20090714000574 |
| Provider Name | Ivy De Leon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871726679 PECOS PAC ID: 7416094982 Enrollment ID: I20091102000595 |
| Provider Name | Tyler A Miller-bost |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841525060 PECOS PAC ID: 2264571892 Enrollment ID: I20091120000190 |
| Provider Name | Cuong Tan Doan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710052337 PECOS PAC ID: 2961442595 Enrollment ID: I20100217000852 |
| Provider Name | Cynthia Marie Wesley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316905391 PECOS PAC ID: 7214916162 Enrollment ID: I20100318000703 |
| Provider Name | Terri Linn Cranfield |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710043369 PECOS PAC ID: 0547210627 Enrollment ID: I20100623000473 |
| Provider Name | Gautam Ghanshyambhai Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679764054 PECOS PAC ID: 8022186279 Enrollment ID: I20100724000302 |
| Provider Name | Ewain P Wilson |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1558462937 PECOS PAC ID: 7113088584 Enrollment ID: I20100902000432 |
| Provider Name | Godofredo I Garcia |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306896865 PECOS PAC ID: 4981653854 Enrollment ID: I20101215000081 |
| Provider Name | Abinet Mulat Boku |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477731248 PECOS PAC ID: 2062567845 Enrollment ID: I20110318000720 |
| Provider Name | Sangeetha Potu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578770095 PECOS PAC ID: 9436287869 Enrollment ID: I20110411000733 |
| Provider Name | Amber Bass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144508987 PECOS PAC ID: 8820260573 Enrollment ID: I20111003000025 |
| Provider Name | Shane M Hodge |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548498975 PECOS PAC ID: 9032382262 Enrollment ID: I20111102000788 |
| Provider Name | Waseem Ghannam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306080510 PECOS PAC ID: 5092971085 Enrollment ID: I20120718000878 |
| Provider Name | Vicky K Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649525932 PECOS PAC ID: 1153570627 Enrollment ID: I20120927000681 |
| Provider Name | Jose Rene Carrasquillo |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1841387248 PECOS PAC ID: 2860398377 Enrollment ID: I20130403000011 |
| Provider Name | Ana Hubert |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528370897 PECOS PAC ID: 6406080613 Enrollment ID: I20131001000407 |
| Provider Name | Julia Eleanor Yaraei |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740487321 PECOS PAC ID: 9638343163 Enrollment ID: I20131002000365 |
| Provider Name | Pamela J Aiken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659631083 PECOS PAC ID: 2466689534 Enrollment ID: I20131217000206 |
| Provider Name | Hirenkumar Damjighai Italia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487815387 PECOS PAC ID: 7012164718 Enrollment ID: I20140310001950 |
| Provider Name | Ralph Erskine Moore |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1871570606 PECOS PAC ID: 0446349468 Enrollment ID: I20141015001489 |
| Provider Name | Heather N Thornburg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467854463 PECOS PAC ID: 6901129204 Enrollment ID: I20141217001347 |
| Provider Name | Rebecca Anne Pifer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639458680 PECOS PAC ID: 5991940330 Enrollment ID: I20150701000994 |
| Provider Name | Chelsea L Compitello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255715751 PECOS PAC ID: 7113233107 Enrollment ID: I20150908000509 |
| Provider Name | John Paul Velasco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598029704 PECOS PAC ID: 4981912730 Enrollment ID: I20150929001409 |
| Provider Name | Sneha Patel Cipriano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780895292 PECOS PAC ID: 8527123512 Enrollment ID: I20151119002688 |
| Provider Name | Cynthia R Eller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437525060 PECOS PAC ID: 8820398324 Enrollment ID: I20151207001516 |
| Provider Name | Dorothy Lunette Floyd |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427169739 PECOS PAC ID: 7416125331 Enrollment ID: I20160504001026 |
| Provider Name | Beck D Mcallister |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1437333846 PECOS PAC ID: 1759559032 Enrollment ID: I20160719002092 |
| Provider Name | Holly Tyler Paris Pilson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1891957478 PECOS PAC ID: 0840430195 Enrollment ID: I20160929002743 |
| Provider Name | Loretta J Pilagin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811965833 PECOS PAC ID: 5799874053 Enrollment ID: I20170206000026 |
| Provider Name | Tori Abernathy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982147765 PECOS PAC ID: 7618250291 Enrollment ID: I20170206000164 |
Wilkesboro Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1916 West Park Dr, North Wilkesboro, NC 28659 Phone: 336-903-2900 Fax: 336-903-2908 | |
Family Medicine, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 W Park Cir, Suite B, North Wilkesboro, NC 28659 Phone: 336-838-4181 Fax: 336-838-4185 | |
Wilkes Physician Network, Inc., Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1370 West D Street, North Wilkesboro, NC 28659 Phone: 336-651-8100 Fax: 336-651-8196 | |
Foothills Center For Women, P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 112 Boone Trl, North Wilkesboro, NC 28659 Phone: 336-667-8241 Fax: 336-667-1326 | |
Zbigniew Cichon, Md, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 110 Jefferson St, Suite 103, North Wilkesboro, NC 28659 Phone: 336-838-1617 Fax: 336-838-2637 | |
Wilkes Family Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1534 W D St, North Wilkesboro, NC 28659 Phone: 336-667-4178 Fax: 336-667-0938 |