Provider Demographics
NPI:1396729265
Name:WARD, WILLIAM GOODE (MD)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:GOODE
Last Name:WARD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 60447
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28260-0447
Mailing Address - Country:US
Mailing Address - Phone:336-718-7950
Mailing Address - Fax:336-718-7989
Practice Address - Street 1:ROBINHOOD MEDICAL PLAZA, BLDG 200
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27106-5475
Practice Address - Country:US
Practice Address - Phone:336-718-7950
Practice Address - Fax:336-718-7989
Is Sole Proprietor?:No
Enumeration Date:2005-12-02
Last Update Date:2020-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC24553207X00000X, 207XS0114X
PAMD447695207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV203709000Medicaid
4574823OtherAETNA
NC8985747Medicaid
200043945OtherRR MEDICARE
40254OtherMEDCOST
85747OtherBCBS
2678OtherPARTNERS
VA6400264Medicaid
SCQ24553Medicaid
WV203709000Medicaid
200043945OtherRR MEDICARE