Organization
WAKE FOREST HEALTH NETWORK, LLC
Active
Other names
Cornerstone Laboratory Services
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL MARS HOWERTON (SR VP NETWORK PHYS & HS CMO)
(336) 716-1331
Entity
Organization
Contact information
Practice address
1814 WESTCHESTER DR, SUITE 400, HIGH POINT, NC 27262-7010
(336) 802-2130
(336) 802-2131
Mailing address
100 KIMEL FOREST DR, WINSTON SALEM, NC 27103-6074
(336) 716-1331
(336) 716-1331
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NC
207RP1001X
Pulmonary Disease Physician
—
NC
207V00000X
Obstetrics & Gynecology Physician
—
NC
207W00000X
Ophthalmology Physician
—
NC
207X00000X
Orthopaedic Surgery Physician
—
NC
207Y00000X
Otolaryngology Physician
—
NC
208000000X
Pediatrics Physician
—
NC
2084N0400X
Neurology Physician
—
NC
208600000X
Surgery Physician
—
NC
208800000X
Urology Physician
—
NC
208M00000X
Hospitalist Physician
—
NC
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7001156
—
NC
01
—
CB8658
RAILROAD MEDICARE
NC
01
—
CC4241
RAILROAD MEDICARE
NC
01
—
CC4242
RAILROAD MEDICARE
NC
01
—
CC4243
RAILROAD MEDICARE
NC
01
—
CC5472
RAILROAD MEDICARE
NC
01
—
CC6608
RAILROAD MEDICARE
NC
01
—
CD6614
RAILROAD MEDICARE
NC
01
—
CF9200
RAILROAD MEDICARE
NC
Enumeration date
06/08/2006
Last updated
09/02/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us