PEACE HAVEN PEDIATRICS – NPI #1831182187
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

PEACE HAVEN PEDIATRICS is a provider located in WINSTON-SALEM, NC. NPPES has assigned the NPI number 1831182187 to PEACE HAVEN PEDIATRICS on August 23, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “PEACE HAVEN PEDIATRICS” is a dba name, the actual legal business name for this organization is WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER COMMUNITY PHYSICIANS. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 18 years ago on Apr 10, 2008. 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 PEACE HAVEN PEDIATRICS below.

NPI Profile for
WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER COMMUNITY PHYSICIANS

NPI Number
1831182187
Enumeration Date

(about 21 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
WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER COMMUNITY PHYSICIANS
Doing Business As (dba): PEACE HAVEN PEDIATRICS
Primary location
1930 NORTH PEACE HAVEN RD
WINSTON-SALEM, NC 27106
Phone: (336) 760-5400 Fax: (336) 760-0254
Mailing address
Same as primary location
Organization Subpart
Yes - PEACE HAVEN PEDIATRICS is subpart of another organization.
Authorized Official
LEWIS THORP
PRESIDENT CEO
Phone: (336) 721-3900
Updated
Identifiers

Identifiers for PEACE HAVEN PEDIATRICS

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
OTHERMEDICARE GROUP NUMBERNC2317728F
MEDICAIDNC890237U
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
208000000X
- Pediatrics (Primary)
NC

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.