Healthcare Provider Details

I. General information

NPI: 1356311435
Provider Name (Legal Business Name): EUGENE HENRY PASCHOLD MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/23/2006
Last Update Date: 07/11/2024
Certification Date: 07/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3333 SILAS CREEK PKWY
WINSTON SALEM NC
27103-3013
US

IV. Provider business mailing address

PO BOX 60516
CHARLOTTE NC
28260-0516
US

V. Phone/Fax

Practice location:
  • Phone: 336-277-8800
  • Fax: 336-277-8850
Mailing address:
  • Phone: 336-249-6632
  • Fax: 336-249-7453

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number23637
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number23637
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: