| Jaime E Trujillo Md Pa | |
| 
					3080 Trenwest Drive Winston Salem NC 27103  | |
| (336) 768-0496 | |
| (336) 768-0498 | 
| Full Name | Jaime E Trujillo Md Pa | 
|---|---|
| Speciality | Internal Medicine | 
| Location | 3080 Trenwest Drive, Winston Salem, North Carolina | 
| Authorized Official Name and Position | Jaime E Trujill0 (PRESIDENT) | 
| Authorized Official Contact | 3367680496 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Jaime E Trujillo Md Pa 3080 Trenwest Drive Winston Salem NC 27103 Ph: (336) 768-0496  | Jaime E Trujillo Md Pa 3080 Trenwest Drive Winston Salem NC 27103 Ph: (336) 768-0496  | 
| NPI Number | 1730301037 | 
|---|---|
| Provider Enumeration Date | 05/03/2007 | 
| Last Update Date | 11/30/2018 | 
| Medicare PECOS PAC ID | 3072416049 | 
|---|---|
| Medicare Enrollment ID | O20040128000491 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1730301037 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Secondary | 
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary | 
| Provider Name | Jaime E Trujillo | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1073564399 PECOS PAC ID: 4587567557 Enrollment ID: I20100806000039  | 
| Provider Name | Roumyana Ivanova Spassova | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1588914337 PECOS PAC ID: 7517283476 Enrollment ID: I20150312000046  | 
| Provider Name | Liliana Pitu | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1942779475 PECOS PAC ID: 3274873450 Enrollment ID: I20190326001614  | 
| Provider Name | Latara Craddock | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1942821152 PECOS PAC ID: 1951721653 Enrollment ID: I20201019002485  | 
| Provider Name | Stacey Jefferson Coats | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1548934847 PECOS PAC ID: 0941605729 Enrollment ID: I20210817000979  | 
| Provider Name | Hannah Clark St. Jeor | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1023598059 PECOS PAC ID: 4486905627 Enrollment ID: I20220608003277  | 
Mccorkle Laboratory Enterprise Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 W 5th St Ste 800, Winston Salem, NC 27101 Phone: 336-800-5227  | |
North Carolina General Management Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3051 Waughtown St, Winston Salem, NC 27107 Phone: 336-726-5090  | |
Wake Forest University Health Sciences Primary Care Clinic Medicare: Medicare Enrolled Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255  | |
Wake Forest Health Network Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1665 Westbrook Plaza Dr, Winston Salem, NC 27103 Phone: 336-760-8380 Fax: 336-760-8388  | |
Preventative Wellness Solutions I Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3878 Oxford Station Way, Winston Salem, NC 27103 Phone: 336-517-0072  | |
Forsyth Memorial Hospital Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 Jonestown Rd, Winston Salem, NC 27104 Phone: 336-769-9515 Fax: 336-768-9082  | |
One Medical, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3274 Silas Creek Pkwy, Winston Salem, NC 27103 Phone: 336-604-2822  |