MEDICAL OFFICE – NPI #1659943108
Anesthesiology

An anesthesiologist who specializes in the diagnosis and treatment of addictions.

MEDICAL OFFICE is an anesthesiologist located in WINSTON-SALEM, NC. NPPES has assigned the NPI number 1659943108 to MEDICAL OFFICE on July 14, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MEDICAL OFFICE” is a dba name, the actual legal business name for this organization is RISE UP ADDICTION MEDICINE & PAIN MANAGEMENT PLLC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207LA0401X from the Health Care Provider Taxonomy code set, which is classified as Anesthesiology, specializing in Addiction Medicine

The NPI profile was previously updated about 5 years ago on Sep 08, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MEDICAL OFFICE below.

NPI Profile for
RISE UP ADDICTION MEDICINE & PAIN MANAGEMENT PLLC

NPI Number
1659943108
Enumeration Date

(about 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
RISE UP ADDICTION MEDICINE & PAIN MANAGEMENT PLLC
Doing Business As (dba): MEDICAL OFFICE
Primary location
500 W 5TH ST STE 800
WINSTON-SALEM, NC 27101-3131
Phone: (336) 247-1068 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MICHAEL ROYALL
OWNER
Phone: (336) 248-1068
Updated
Certification Date
Sep 08, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for MEDICAL OFFICE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDNC1356819320
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207LA0401X
- Anesthesiology / Addiction Medicine (Primary)
207LP2900X
- Anesthesiology / Pain Medicine

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.