MEDICARE: ENRICO E PIVA D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207QA0505X	Adult Medicine Physician	97-01847	NC

General Provider Information

NPI Number	:	1306805841
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ENRICO E PIVA D.O.

Provider Business Mailing Address
First Line	:	3064 CAMERON VILLAGE CT
Second Line	:
City	:	WINSTON SALEM
State	:	NC
Zip	:	27103-3044
Country	:	US
Telephone Number	:	336-761-5300
Fax Number	:

Provider Business Practice Location Address
First Line	:	190 KIMEL PARK DR
Second Line	:
City	:	WINSTON SALEM
State	:	NC
Zip	:	27103-6946
Country	:	US
Telephone Number	:	336-768-3296
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/22/2006
Last Update Date	:	04/16/2013

Similar Medicare Providers

1467457879 — DR. CARLOS X PIMENTEL MD
Practice Location Address:

186 KIMEL PARK DR
WINSTON SALEM, NC
27103-6946

Practice Phone: 336-277-2000
Practice Fax: 336-277-2050

1629074323 — DENNIS GEORGE LERIS PA-C
Practice Location Address:

190 KIMEL PARK DR STE 140
WINSTON SALEM, NC
27103-6946

Practice Phone: 336-277-2225
Practice Fax: 336-277-2231

1922091339 — MARK ANDREW HNILICA MD
Practice Location Address:

190 KIMEL PARK DR STE 155
WINSTON SALEM, NC
27103-6946

Practice Phone: 336-765-6637
Practice Fax: 336-765-6964

1871587923 — DR. KENNETH EDWARD BODEK M.D.
Practice Location Address:

186 KIMEL PARK DR , SUITE 400
WINSTON SALEM, NC
27103-6946

Practice Phone: 336-277-2000
Practice Fax: 336-277-2050

1275516429 — TERESA ELAINE MURRELL OTR
Practice Location Address:

170 KIMEL PARK DR
WINSTON SALEM, NC
27103-6946

Practice Phone: 336-765-7058
Practice Fax:

1154309359 — DR. ROBERT SCOTT ALLEN MD
Practice Location Address:

186 KIMEL PARK DR , ATTN: WINSTON-SALEM CARDIOLOGY ASSOCIATES
WINSTON-SALEM, NC
27103-6946

Practice Phone: 336-277-2000
Practice Fax: 336-277-2050

1487633483 — LAURA C BENNETT PA
Practice Location Address:

186 KIMEL PARK DR , ATTN: WINSTON-SALEM CARDIOLOGY
WINSTON-SALEM, NC
27103-6946

Practice Phone: 336-277-2000
Practice Fax: 336-277-2050

Directions to “ ENRICO E PIVA D.O.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.