Healthcare Provider Details

I. General information

NPI: 1396729265
Provider Name (Legal Business Name): WILLIAM GOODE WARD MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/02/2005
Last Update Date: 10/25/2020
Certification Date: 09/06/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

ROBINHOOD MEDICAL PLAZA, BLDG 200
WINSTON SALEM NC
27106-5475
US

IV. Provider business mailing address

PO BOX 60447
CHARLOTTE NC
28260-0447
US

V. Phone/Fax

Practice location:
  • Phone: 336-718-7950
  • Fax: 336-718-7989
Mailing address:
  • Phone: 336-718-7950
  • Fax: 336-718-7989

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number24553
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code207XS0114X
TaxonomyAdult Reconstructive Orthopaedic Surgery Physician
License Number24553
License Number StateNC
# 3
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberMD447695
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: