MR. RONALD BERNARD SHEALY MD
NPI 1073593943
Otolaryngology in Winston Salem, NC

Q: What is Ronald Shealy's NPI number?

The NPI number for Ronald Shealy is 1073593943. It was assigned to this individual provider in the NPPES registry on January 18, 2006.

Q: What is Ronald Shealy's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Ronald Shealy was last updated on February 15, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 18, 2006

110 CHARLOIS BLVD, WINSTON SALEM, NC 27103(336) 768-3361(336) 768-4131 Get Directions Write a Review

NPPES record last updated: February 15, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Mr. Ronald Bernard Shealy Md NPPES

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

MR. RONALD BERNARD SHEALY MD (NPI 1073593943) is an individual otolaryngology provider in Winston Salem, North Carolina, licensed in North Carolina (24519) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1073593943

Entity TypeIndividualMale

Primary Taxonomy207Y00000X

Provider Legal NameMR. RONALD BERNARD SHEALYCredential: MD

Location Address110 CHARLOIS BLVDWinston Salem, NC 27103-1522

Mailing Address110 Charlois BlvdWinston Salem, NC 27103-1522 · (336) 768-3361 · Fax (336) 768-4131

Phone(336) 768-3361

Fax(336) 768-4131

Sole ProprietorNo

Enumeration DateJanuary 18, 2006

Last NPPES UpdateFebruary 15, 2012

✔ NPI 1073593943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians

Taxonomy Code207Y00000X

License✔ Licensed in NC · 24519

Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

110 CHARLOIS BLVD, Winston Salem, NC 27103

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Other Identifiers 9

Other391NC · Partners

Other6525253VA · Virginia Medicaid

Other75581NC · Blue Cross Blue Shield

Medicare UPIND33174NC

Other040011654NC · Railroad Medicare

Other30636NC · Medcost

Other1000673NC · United Healthcare

Medicare ID-Type Unspecified210347NC · Medicare

Medicaid7975581NC

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.

MR. ROBERT MARTIN ALSUP MD

Otolaryngology