Individual
MICHAEL OLIPHANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
19526
NC
2085R0204X
Vascular & Interventional Radiology Physician
19526
NC
2085U0001X
Diagnostic Ultrasound Physician
19526
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
130K6
BCBS
NC
05
—
2005653000
—
WV
01
—
46205
PARTNERS
NC
05
—
7248164
—
VA
01
—
7816329
AETNA
—
05
—
89130K6
—
NC
01
—
B3170
MEDCOST
NC
05
—
Q19526
—
SC
Enumeration date
01/05/2006
Last updated
10/08/2010
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