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

Jay Anthony Requarth, MD

Individual provider Vascular & Interventional Radiology Physician · NPI 1033147657

Jay Anthony Requarth, MD is a Vascular & Interventional Radiology Physician in Winston Salem, North Carolina. Licensed in North Carolina. Registered with an NPI since 2006.

Licensed in
NC
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Partly verified

Some contact details are missing from the federal record.

Medical Center Blvd
Winston Salem, NC 27157-0001
Phone: (336) 716-2255
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular & Interventional Radiology Physician (primary) Taxonomy 2085R0204X · Licence 2005-00403 (NC)

Record details

NPI number1033147657
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 30, 2006
Last updated in NPPESJanuary 27, 2012

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