Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Eugene Henry Thiebaud, PAC

Individual provider Physician Assistant · NPI 1306821269

Eugene Henry Thiebaud, PAC is a Physician Assistant in Winston Salem, North Carolina. Qualified in 1982, 44 years ago. Practices with Wake Forest University Health Sciences, a 2,621-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
44
Licensed in
NC
In the registry since
2005
Specialties on file
2
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

Bldg 200 Robinhood Medical Plz
Winston Salem, NC 27106-5475
Phone: (336) 718-7950
Fax: (336) 718-7989
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 101957 (NC)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 000101957 (NC)

Record details

NPI number1306821269
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedDecember 13, 2005
Last updated in NPPESOctober 14, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1982 (44 years in practice)
Group practice Wake Forest University Health Sciences — 2621 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Winston Salem