John Michael Provenza, MD
John Michael Provenza, MD is a Gastroenterology in Winston Salem, North Carolina. Graduated from Louisiana State University School of Medicine in Shreveport in 2013, 13 years ago. Practices with Wake Forest University Health Sciences, a 2,621-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.
- Years since qualifying
- 13
- Trained at
- Louisiana State University School of Medicine in Shreveport
- Licensed in
- NC
- In the registry since
- 2017
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Partly verified
Medical Center BlvdWinston Salem, NC 27157-1900
Phone: (336) 713-7311
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 625 19th St S, Birmingham, AL 35233-1900 — (205) 934-9666
Specialties & licences
| Gastroenterology Physician (primary) | Taxonomy 207RG0100X · Licence 2023-01626 (NC) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1508399346 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | April 8, 2017 |
| Last updated in NPPES | June 12, 2023 |
| Certification date | June 12, 2023 |
Medicare enrollment
| Medicare specialty | GASTROENTEROLOGY |
|---|---|
| Medical school | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT |
| Graduated | 2013 (13 years in practice) |
| Group practice | Wake Forest University Health Sciences — 2621 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
Other providers in Winston Salem
-
Randy Alan Peters, MD
1830 S Hawthorne Rd, Winston Salem, NC 27103-4047 · (336) 448-2427
-
Piedmont Gastroenterology Specialists, PA
1901 S Hawthorne Rd Ste 310, Winston Salem, NC 27103-3921 · (336) 760-4340
-
Gary Darneville Poleynard, MD
2025 Frontis Plaza Blvd Ste 200, Winston Salem, NC 27103-5663 · (336) 768-6211
-
Dr. Apsara Prasad, MD
195 Kimel Park Dr Ste 200, Winston Salem, NC 27103-6967 · (336) 768-6211
-
Dr. Dhyan Rajan, MD
195 Kimel Park Dr Ste 200, Winston Salem, NC 27103-6967 · (336) 768-6211
-
Dr. David B. Ramsay IV, MD
195 Kimel Park Dr Ste 200, Winston Salem, NC 27103-6967 · (336) 768-6211
-
Michael Hotelling Rubin, MD
1830 S Hawthorne Rd, Winston Salem, NC 27103-4047 · (336) 765-0463
-
Victor Wilson Sears, MD
2025 Frontis Plaza Blvd Ste 200, Winston Salem, NC 27103-5663 · (336) 768-6211