WAKE FOREST HEALTH NETWORK LLC – NPI #1639575400
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Health Care Provider Taxonomy Code for Radiology

WAKE FOREST HEALTH NETWORK LLC is a radiologist located in ASHEBORO, NC. NPPES has assigned the NPI number 1639575400 to WAKE FOREST HEALTH NETWORK LLC on November 06, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was last updated on Sep 25, 2025. 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 WAKE FOREST HEALTH NETWORK LLC below.

NPI Profile for
WAKE FOREST HEALTH NETWORK LLC

NPI Number
1639575400
Enumeration Date

(more than 11 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 HEALTH NETWORK LLC
Primary location
223 W. WARD ST. STE. B
ASHEBORO, NC 27203-5611
Phone: (336) 625-4215 Fax: (336) 626-0919
Mailing address
223 W WARD ST STE B
ASHEBORO, NC 27203-5423
Phone: (336) 625-4215 Fax: (336) 626-0919
Organization Subpart
No
Authorized Official
CRAIG GREVEN
SR VP CLINICAL OPERATIONS
Phone: (336) 716-1331
Updated
Certification Date
Sep 25, 2025

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.

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
2085R0202X
- Radiology / Diagnostic Radiology (Primary)

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.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service
Endpoint type
CONNECT URL
Endpoint Description
2.16.840.1.113883.3.667.2
Content Type
CSV
Affiliation
Y
Endpoint Location
64 S PRICE RD STE B,
BROWNSVILLE, TX 77025-1669