1. Home
  2. Directory
  3. North Carolina
  4. Winston Salem
  5. Dermatology
  6. NPI Profile

WINSTON SALEM DERMATOLOGY & SURGERY
NPI 1073549150
Dermatology in Winston-salem, NC

Active since June 23, 2006CLIA 34D1080768 · Microscopy
1400 WESTGATE CENTER DR., STE. 200, WINSTON-SALEM, NC 27103(336) 774-8636(336) 774-0265 Get Directions Write a Review

NPPES record last updated: August 6, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Winston Salem Dermatology & Surgery NPPES

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

WINSTON SALEM DERMATOLOGY & SURGERY (NPI 1073549150) is a healthcare organization registered as a dermatology in Winston-salem, North Carolina and active in the NPI registry since June 2006. The organization holds a CLIA Microscopy certificate valid through October 31, 2026 and lists Christine Yuengel-bienenfeld, Owner, as its authorized official.

NPPES Registry Identity

NPI1073549150
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameWINSTON SALEM DERMATOLOGY & SURGERY
Location Address1400 WESTGATE CENTER DR., STE. 200Winston-salem, NC 27103
Mailing Address1400 Westgate Center Dr., Ste. 200Winston-salem, NC 27103 · (336) 774-8636 · Fax (336) 774-0265
Phone(336) 774-8636
Fax(336) 774-0265
Organization SubpartNo
Authorized OfficialChristine Yuengel-bienenfeldOwner · (336) 774-8636
Enumeration DateJune 23, 2006
Last NPPES UpdateAugust 6, 2014
✔ NPI 1073549150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in NC · 9601111
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
1400 WESTGATE CENTER DR., STE. 200, Winston-salem, NC 27103
Open in Google Maps ↗

Other Identifiers 2

Medicare ID-Type Unspecified2349839NC
Other017G0NC · Bcbs Of Nc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 34D1080768

Winston-Salem Dermatology & Surgery Center, PLLC · Winston-Salem, NC
Active · expires Oct 31, 2026
CLIA Number34D1080768
Laboratory TypePhysician Office
Certificate Effective DateNovember 1, 2024
Certificate Expiration DateOctober 31, 2026
Laboratory DirectorChristine Yuengel-Bienenfeld
Laboratory Phone(336) 774-8636
Laboratory LocationWinston-Salem Dermatology & Surgery Center, PLLC1400 Westgate Center Drive, Suite 200, Winston-Salem, NC 27103
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Winston Salem Dermatology & Surgery's NPI number?

The NPI number for Winston Salem Dermatology & Surgery is 1073549150. It was assigned to this organization in the NPPES registry on June 23, 2006.

Where is Winston Salem Dermatology & Surgery located?

Winston Salem Dermatology & Surgery is located at 1400 Westgate Center Dr., Ste. 200, Winston-Salem, NC 27103. The listed phone number is (336) 774-8636.

What is Winston Salem Dermatology & Surgery's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Does Winston Salem Dermatology & Surgery hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 34D1080768) is associated with this NPI, valid through October 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Winston Salem Dermatology & Surgery accept?

Health plans from Blue Cross and Blue Shield of NC list Winston Salem Dermatology & Surgery as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Winston Salem Dermatology & Surgery was last updated on August 6, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.