BETHANY MEDICAL CENTER - WILKESBORO
NPI 1508341736
Anesthesiology - Pain Medicine in North Wilkesboro, NC
NPI Status: Active since October 03, 2018
Contact Information
1103 W D ST
NORTH WILKESBORO, NC
ZIP 28659
Phone: (336) 883-0029
- Organization
- Anesthesiology
- Pain Medicine
- Accepts Insurance
- CLIA Number: 34D2071661
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 06-30-2025
About BETHANY MEDICAL CENTER - WILKESBORO
This page provides the complete NPI Profile along with additional information for Bethany Medical Center - Wilkesboro, a provider established in North Wilkesboro, North Carolina operating as a Anesthesiology, focusing in pain medicine . The healthcare provider is registered in the NPI registry with number 1508341736 assigned on October 2018. The practitioner's primary taxonomy code is 207LP2900X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Bethany Medical Center - Wilkesboro operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's other name is Bethany Medical Center - Wilkesboro. The authorized official of this NPI record is Elise Peters (President)
- NPI
- 1508341736
- Provider Legal Name
- BETHANY MEDICAL CENTER
- Other Organization Name
- BETHANY MEDICAL CENTER - WILKESBORO
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 1103 W D ST NORTH WILKESBORO, NC 28659
- Location Phone
- (336) 883-0029
- Mailing Address
- 645 N MAIN ST HIGH POINT, NC 27260
- Mailing Phone
- (336) 883-0029
- Mailing Fax
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-03-2018
- Last Update Date
- 08-29-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Anesthesiology Pain Medicine
- Taxonomy Code
- 207LP2900X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Connect Bronze 5500 Indiv Med Deductible - HMO
- Connect Bronze 6500 Indiv Med Deductible - HMO
- Connect Bronze CMS Standard - HMO
- Connect Gold CMS Standard - HMO
- Connect Silver 3500 Indiv Med Deductible - HMO
- Connect Silver 4400 Indiv Med Deductible - HMO
- Connect Silver CMS Standard - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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 this NPI number is:
- CLIA Number
- 34D2071661
- Facility Type
- Physician Office
- Certificate Effective Date
- May 05, 2023
- Certificate Expiration Date
- June 30, 2025
- Laboratory Director
- DAVONIA MICHAEL
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Bethany Medical Center - Wilkesboro after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 0 | 8 | 3 | 4 | 1 | 7 | 3 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 0 | 8 | 6 | 4 | 2 | 7 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 0 + 8 + 6 + 4 + 2 + 7 + 6 + 24 = 64 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 64 = 6 | 6 | ||||||||
The NPI number 1508341736 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
COURTNEY PRIM PA-C
Physician Assistant
1103 W D ST
NORTH WILKESBORO, NC
ZIP 28659
SANDRA KAY MARSHALL
Nurse Practitioner
(Family)
1103 W D ST
NORTH WILKESBORO, NC
ZIP 28659
AMY TENILLE LANKFORD FNP
Nurse Practitioner
(Family)
1103 W D ST
NORTH WILKESBORO, NC
ZIP 28659
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1508341736, enumerated as an "organization" on October 03, 2018.
The provider is located at 1103 W D ST NORTH WILKESBORO, NC 28659 and the phone number is (336) 883-0029.
Anesthesiology with taxonomy code 207LP2900X and a focus in Pain Medicine.
The provider might be accepting Accepts: Cigna Healthcare. Please consult your insurance carrier or call the provider to verify.
