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JAY ANTHONY REQUARTH MD
NPI 1033147657
Radiology - Vascular & Interventional Radiology in Winston Salem, NC

Active since June 30, 2006
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157(336) 716-2255 Get Directions Write a Review

NPPES record last updated: January 27, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jay Anthony Requarth Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAY ANTHONY REQUARTH MD (NPI 1033147657) is an individual vascular & interventional radiology provider in Winston Salem, North Carolina, licensed in North Carolina (2005-00403) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1033147657
Entity TypeIndividualMale
Primary Taxonomy2085R0204X
Provider Legal NameJAY ANTHONY REQUARTHCredential: MD
Location AddressMEDICAL CENTER BLVDWinston Salem, NC 27157-0001
Mailing AddressPo Box 344Winston-salem, NC 27102-0344 · (336) 716-2255
Phone(336) 716-2255
Sole ProprietorNo
Enumeration DateJune 30, 2006
Last NPPES UpdateJanuary 27, 2012
✔ NPI 1033147657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0204X
License✔ Licensed in NC · 2005-00403
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
MEDICAL CENTER BLVD, Winston Salem, NC 27157
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Other Identifiers 10

Other808939Partners
Medicare UPINF85920
Medicaid86138000WV
Other142J0Bcbs
Other189351Medcost
Other4556618Aetna
Medicare PINP00367352NC
Medicaid10411491VA
Medicare PIN2059952NC
Medicaid5904790NC

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CRAIG MICHAEL COMBS MD
Anesthesiology
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Forsyth County (336) 716-2255
MR. KAMRON YORK BENFIELD PA
Physician Assistant (Medical)
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Forsyth County (336) 716-4838
ANDREA WHITLEY PEYTON PA-C
Physician Assistant (Medical)
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Forsyth County (336) 716-2011
AMR SHERIF MOHAMED RIFAA EL HARAKI MD
Obstetrics & Gynecology
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Forsyth County (336) 716-2255
DR. MICHAEL JOSEPH MCCORMACK JR. M.D.
Internal Medicine (Hematology & Oncology)
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Forsyth County (336) 716-2255
RANDALL STEPHAN CONRAD MD
Hospitalist
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Forsyth County (336) 716-4305
NICHOLAS RYAN TUTTLE CRNA
Nurse Anesthetist, Certified Registered
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Forsyth County (336) 409-1797
DR. ANALICIA MARIE ALVARADO MD
Internal Medicine (Nephrology)
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
Forsyth County (336) 716-2255

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jay Requarth's NPI number?

The NPI number for Jay Requarth is 1033147657. It was assigned to this individual provider in the NPPES registry on June 30, 2006.

Where is Jay Requarth located?

Jay Requarth practices at Medical Center Blvd, Winston Salem, NC 27157. The listed phone number is (336) 716-2255.

What is Jay Requarth's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

When was this NPI record last updated?

The NPPES record for Jay Requarth was last updated on January 27, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.