Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 24553 | NC |
Y | 207X00000X | Orthopaedic Surgeon | MD447695 | PA |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 24553 | NC |
NPI | 1396729265 |
---|---|
Provider Name | William Goode Ward |
First Address | Charlotte, NC 28260-0447 |
Second Address | Winston Salem, NC 27106-5475 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/12/2005 |
Last Update Date | 25/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200043945 | RR MEDICARE (01) | |
203709000 | (05) | WV |
2678 | PARTNERS (01) | |
40254 | MEDCOST (01) | |
4574823 | AETNA (01) | |
6400264 | (05) | VA |
85747 | BCBS (01) | |
8985747 | (05) | NC |
E51670 | (02) | |
Q24553 | (05) | SC |