Active NPIIndividual provider

Mark G Amirault, DO, MPH

Radiology, Diagnostic Radiology in Winston Salem, North Carolina

NPI Number1356802441
Practice location
Medical Center Blvd, Winston Salem, NC 27157-0001
Fax
336-716-7432
Last updated
July 24, 2024

Mark Gerard Amirault is a Radiology, Diagnostic Radiology based in Winston Salem, NC. Mark Gerard Amirault practices in Winston Salem, NC and has the professional credentials of DO, MPH. The NPI Number for Mark Gerard Amirault is 1356802441 and holds a License No. 2024-01726 (NC). The current practice location address for Mark Gerard Amirault is Medical Center Blvd, Winston Salem, NC 27157-0001 and can be reached out via phone at 336-716-7243 and via fax at 336-716-7432.

Provider Profile Details

NPI Number
1356802441
Provider Name
Mark Gerard Amirault
Credential
DO, MPH
Provider Entity Type
Individual
Gender
Male
Address
Medical Center Blvd, Winston Salem, NC 27157-0001
Phone Number
336-716-7243
Fax Number
336-716-7432
Primary Taxonomy
Radiology, Diagnostic Radiology · 2085R0202X
Sole Proprietor
No
Provider Enumeration Date
March 29, 2019
Last Update Date
July 24, 2024
Certification Date
July 24, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
Medical Center Blvd
Winston Salem, NC 27157-0001
Zip
27157-0001
Phone Number
336-716-7243
Fax Number
336-716-7432
Winston Salem, NC 27157Get directions →

Provider Business Mailing Address Details

Address
Medical Center Blvd
Winston Salem, NC 27157-0001
City
Winston Salem
State
NC
Zip
27157-0001

License Information

License Number (2)
2024-01726
License State (2)
NC
Taxonomy (2)
Radiology, Diagnostic Radiology · 2085R0202X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mark G Amirault, DO, MPH?

The NPI number of Mark G Amirault, DO, MPH is 1356802441. It was assigned on March 29, 2019 and is currently active in the NPPES registry.

What is the specialty of Mark G Amirault, DO, MPH?

Mark G Amirault, DO, MPH is registered under the primary taxonomy Radiology, Diagnostic Radiology (code 2085R0202X), licensed in NC under license number 2024-01726.

Where does Mark G Amirault, DO, MPH practice?

The practice location is Medical Center Blvd, Winston Salem, NC 27157-0001. The office can be reached at 336-716-7243 (phone) or 336-716-7432 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1356802441 directly on the NPPES registry website.

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