PHILLIP M. WILLIFORD MD – NPI #1518943943
Dermatology

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

PHILLIP WILLIFORD is a dermatologist located in WINSTON-SALEM, NC. NPPES has assigned the NPI number 1518943943 to PHILLIP WILLIFORD on December 19, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207ND0101X from the Health Care Provider Taxonomy code set, which is classified as Dermatology, specializing in MOHS-Micrographic Surgery

The NPI profile was previously updated about 16 years ago on Nov 15, 2010. 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 PHILLIP WILLIFORD below.

NPI Profile for
PHILLIP M. WILLIFORD

NPI Number
1518943943
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
PHILLIP M. WILLIFORD
Credentials
MD
Primary location
4618 COUNTRY CLUB RD
WINSTON-SALEM, NC 27104-3520
Phone: (336) 716-2255 Fax: (336) 716-6761
Mailing address
PO BOX 344
WINSTON SALEM, NC 27102-0344
Phone: (336) 716-2255 Fax: (336) 716-6761
Sole Proprietor
No
Updated
Identifiers

Identifiers for PHILLIP WILLIFORD

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.

See identifiers
DescriptionIssuerStateIdentifier
OTHERAETNA4671710
OTHERBCBS88074
OTHERMEDCOST64002
OTHERPARTNERS5552
OTHERRR MEDICARE70016802
MEDICAIDNC8988074
MEDICAIDSCN26483
MEDICAIDVA5940478
MEDICAIDWV2005036000
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
207ND0101X
- Dermatology / MOHS-Micrographic Surgery (Primary)
NC 26483
207NS0135X
- Dermatology / Procedural Dermatology
NC 26483

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.

Additional Information

Medicare Ordering & Referring
Provider can:
  • Order Durable Medical Equipment
  • Order Power Mobility Devices
Affiliations
PHILLIP WILLIFORD is affiliated with the following medical group(s):
  • HOSPITAL
    • NORTH CAROLINA BAPTIST HOSPITAL
      MEDICAL CENTER BOULEVARD
      WINSTON-SALEM, NC 27157

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