Dr Timothy Kirk O'rourke, MD | |
140 Charlois Blvd, Winston Salem, NC 27103-1522 | |
(363) 716-4131 | |
(336) 713-0328 |
Full Name | Dr Timothy Kirk O'rourke |
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Gender | Male |
Speciality | Urology |
Location | 140 Charlois Blvd, Winston Salem, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124557822 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | LP03955 (Rhode Island) | Secondary |
208800000X | Urology | LP03955 (Rhode Island) | Secondary |
208800000X | Urology | 2022-01263 (North Carolina) | Primary |
Entity Name | Wake Forest University Health Sciences |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003803032 PECOS PAC ID: 4486564952 Enrollment ID: O20031105000436 |
Mailing Address | Practice Location Address |
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Dr Timothy Kirk O'rourke, MD 100 Kimel Forest Dr, Winston Salem, NC 27103-6074 Ph: (336) 716-0238 | Dr Timothy Kirk O'rourke, MD 140 Charlois Blvd, Winston Salem, NC 27103-1522 Ph: (363) 716-4131 |
Dr. Oliver James Hart Iii, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 2010 Baldwin Ln, Winston Salem, NC 27103 Phone: 336-277-1717 Fax: 336-277-1718 | |
Steve James Hodges, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 140 Charlois Blvd, Winston Salem, NC 27103 Phone: 336-716-2255 Fax: 336-716-9042 | |
Dr. Shuo Liu, MD Urology Medicare: Medicare Enrolled Practice Location: Department Of Urology Medical Center Boulevard, Winston Salem, NC 27157 Phone: 336-716-5253 | |
Majid Mirzazadeh, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 140 Charlois Blvd, Winston Salem, NC 27103 Phone: 336-716-4131 Fax: 336-713-0328 | |
Dr. Connor Gregory Policastro, MD Urology Medicare: Medicare Enrolled Practice Location: 140 Charlois Blvd, Winston Salem, NC 27103 Phone: 336-716-4131 Fax: 336-713-0328 | |
Dr. Kyle Scarberry, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 140 Charlois Blvd, Winston Salem, NC 27103 Phone: 336-716-4131 Fax: 336-713-0328 | |
Dr. Ryan Patrick Terlecki, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 140 Charlois Blvd, Winston Salem, NC 27103 Phone: 336-716-4131 Fax: 336-716-9042 |