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Mr. Ronald Bernard Shealy

Otolaryngologist (ENT Doctor)

110 Charlois Blvd
Winston Salem , North Carolina 27103-1522

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Mr. Ronald Bernard Shealy

Otolaryngologist (ENT Doctor)

110 Charlois Blvd
Winston Salem , North Carolina 27103-1522

(336) 768-4131

Write a Review Save Call

Mr. Ronald Bernard Shealy

Otolaryngologist (ENT Doctor)

110 Charlois Blvd
Winston Salem , North Carolina 27103-1522

(336) 768-4131 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Otolaryngologist (ENT Doctor)

Languages spoken

  • English

Location

110 Charlois Blvd Winston Salem , North Carolina 27103-1522

First Address

  • Mr. Ronald Bernard Shealy
  • 110 Charlois Blvd
  • Winston Salem, NC
  • Zip : 27103-1522
  • Fax : (336) 768-4131
  • Phone : (336) 768-3361

Second Address

  • Mr. Ronald Bernard Shealy
  • 110 Charlois Blvd
  • Winston Salem, NC
  • Zip : 27103-1522
  • Fax : (336) 768-4131
  • Phone : (336) 768-3361

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FAQs


Where did Mr. Ronald Bernard Shealy attend graduate school?

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Where did Mr. Ronald Bernard Shealy do his residency?

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Where did Mr. Ronald Bernard Shealy do his fellowship?

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Is Mr. Ronald Bernard Shealy board certified?

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What type of doctor is Mr. Ronald Bernard Shealy

Otolaryngologist (ENT Doctor)

In what state does Mr. Ronald Bernard Shealy practice in?

North Carolina

Where is Mr. Ronald Bernard Shealy ’s practice located?

110 Charlois Blvd , Winston Salem, North Carolina, 27103-1522

What is Mr. Ronald Bernard Shealy ’s gender?

Male

Is Mr. Ronald Bernard Shealy a sole practitioner?

No

Is Mr. Ronald Bernard Shealy accepting new patients?

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What languages does Mr. Ronald Bernard Shealy speak?

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Does Mr. Ronald Bernard Shealy accept insurance?

Yes, Mr. Ronald Bernard Shealy accepts insurance

Does Mr. Ronald Bernard Shealy offers telemedicine?

Mr. Ronald Bernard Shealy has not indicated if he offers telemedicine

What is Mr. Ronald Bernard Shealy ’s professional license number?

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What is Mr. Ronald Bernard Shealy ’s NPI number?

1073593943

Does Mr. Ronald Bernard Shealy have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 207Y00000X Otolaryngologist (ENT Doctor) 24519 NC

National Provider Identifier

NPI 1073593943
Provider Name Mr. Ronald Bernard Shealy
First Address Winston Salem, NC 27103-1522
Second Address Winston Salem, NC 27103-1522
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 18/01/2006
Last Update Date 15/02/2012

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
040011654 RAILROAD MEDICARE (01) NC
1000673 UNITED HEALTHCARE (01) NC
30636 MEDCOST (01) NC
391 PARTNERS (01) NC
6525253 VIRGINIA MEDICAID (01) VA
75581 BLUE CROSS BLUE SHIELD (01) NC
7975581 (05) NC
D33174 (02) NC

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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