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

Shayne Ethan Bates, MD

Individual provider Pediatrics Physician · NPI 1912186990

Shayne Ethan Bates, MD is a Pediatrics Physician in Winston Salem, North Carolina. Licensed in North Carolina. Registered with an NPI since 2007.

Licensed in
NC
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3746 Vest Mill Rd
Winston Salem, NC 27103-2912
Phone: (336) 716-2255
Fax: (336) 774-0707
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 2010-01033 (NC)

Record details

NPI number1912186990
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 26, 2007
Last updated in NPPESSeptember 28, 2010
Mailing addressPo Box 344, Winston Salem, NC 27102-0344

Other providers in Winston Salem