NOVANT HEALTH VALAORAS & LEWIS OB/GYN (NOVANT MEDICAL GROUP INC.) NPI 1134558752

Obstetrics & Gynecology in Winston Salem, NC

Organization Obstetrics & Gynecology CLIA Number 34D0952894 CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP)

About NOVANT HEALTH VALAORAS & LEWIS OB/GYN (NOVANT MEDICAL GROUP INC.)

Novant Health Valaoras & Lewis Ob/gyn (novant Medical Group Inc.) is a provider established in Winston Salem, North Carolina specializing in obstetrics & gynecology. The NPI number of Novant Health Valaoras & Lewis Ob/gyn (novant Medical Group Inc.) is 1134558752 and was assigned on November 2013. The practitioner's primary taxonomy code is 207V00000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. Novant Health Valaoras & Lewis Ob/gyn (novant Medical Group Inc.) operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Novant Health Valaoras & Lewis Ob/gyn. The authorized official of this NPI record is Geoffrey K Gardner (Vp Of Finance)

The CLIA number of Novant Health Valaoras & Lewis Ob/gyn is 34D0952894 registered as a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued to Novant Health Valaoras & Lewis Ob/gyn in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the provider to also perform waived tests.

NPI

1134558752

Provider NameNOVANT HEALTH VALAORAS & LEWIS OB/GYN (NOVANT MEDICAL GROUP INC.)
Provider Location Address245 CHARLOIS BLVD WINSTON SALEM, NC 27103
Provider Mailing AddressPO BOX 60447 CHARLOTTE, NC 28260
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameNOVANT HEALTH VALAORAS & LEWIS OB/GYN
Other Name TypeDoing Business As (3)
Enumeration Date11-04-2013
Last Update Date11-14-2013

Primary Taxonomy

Taxonomy Code207V00000X
ClassificationObstetrics & Gynecology
TypeAllopathic & Osteopathic Physicians
Taxonomy DescriptionAn obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Business Address

NOVANT HEALTH VALAORAS & LEWIS OB/GYN
245 CHARLOIS BLVD
WINSTON SALEM, NC
ZIP 27103
Phone: (336) 659-4777
Fax: (336) 659-4798

Get Directions

Mailing Address

NOVANT HEALTH VALAORAS & LEWIS OB/GYN
PO BOX 60447
CHARLOTTE, NC
ZIP 28260
Phone: (704) 384-7840

Authorized Official

Authorized Official Name GEOFFREY K GARDNER
Authorized Official TitleVP OF FINANCE
Authorized Official Phone(336) 659-4777

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1134558752 is:

CLIA Number34D0952894
Facility TypePHYSICIAN OFFICE
Certificate TypeCertificate for Provider-Performed Microscopy Procedures (PPMP)

Group Taxonomy


193200000X MULTI-SPECIALTY GROUP - This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Other Providers at the same location


The following 9 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1013986355VALAORAS AND LEWIS PA
Organization
Specialist245 CHARLOIS BLVD
WINSTON-SALEM, NC 27103
(336) 659-4777
1154380111DR. THOMAS G VALAORAS M.D.
Individual
Specialist245 CHARLOIS BLVD
WINSTON-SALEM, NC 27103
(336) 659-4777
1255989943 KELLIE PRESLAR KOONTZ NP
Individual
Nurse Practitioner245 CHARLOIS BLVD
WINSTON SALEM, NC 27103
(336) 659-4777
1285693242DR. ANDREW J. LEWIS M.D.
Individual
Specialist245 CHARLOIS BLVD
WINSTON-SALEM, NC 27103
(336) 659-4777
1407214836 AMY ESTER FNP-C
Individual
Nurse Practitioner245 CHARLOIS BLVD
WINSTON SALEM, NC 27103
(336) 659-4777
1558651778PREFERRED PAIN MANAGEMENT
Organization
Durable Medical Equipment & Medical Supplies245 CHARLOIS BLVD SUITE C
WINSTON SALEM, NC 27103
(336) 760-0706
1700327376 SUE WIMBISH RD
Individual
Dietitian, Registered245 CHARLOIS BLVD
WINSTON SALEM, NC 27103
(336) 659-4777
1710165501PREFERRED PAIN MANAGEMENT, P.A,
Organization
Clinic/Center (Pain)245 CHARLOIS BLVD SUITE C
WINSTON SALEM, NC 27103
(336) 760-0706
1841689916 KATIE HALSEY CNM, APN
Individual
Advanced Practice Midwife245 CHARLOIS BLVD
WINSTON SALEM, NC 27103
(336) 659-4777

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.