Organization
WAKE FOREST HEALTH NETWORK, LLC
Active
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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up