BIO-LIFECYCLE MEDICAL CENTERS, PLLC (NPI# 1003159617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003159617 |
| Entity Type | Organization |
| Organization Name | BIO-LIFECYCLE MEDICAL CENTERS, PLLC |
| Practice Address |
4201 Lake Boone Trl Ste 005 Raleigh NC 27607-7512 |
| Practice Telephone | 9198519100 |
| Mailing Telephone | 9198519100 |
| Enumeration Date | 2013-04-02 |
| Last Update Date | 2013-04-02 |
| Authorized Official Name | MIKE MONTEMURRO (COO) |
| Authorized Official Telephone | 9198519100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
39759 | NC | Allopathic & Osteopathic Physicians |
| Street Address |
4201 LAKE BOONE TRL STE 005 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27607-7512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881680098 | Joseph Anthony Guzzo | Internal Medicine | 4201 Lake Boone Trl, Suite 104, Raleigh, NC 27607-7512 | 2005-09-22 |
| 1699383034 | Sarah Olivia Varner | Speech-Language Pathologist | 4201 Lake Boone Trl, Raleigh, NC 27607-7512 | 2020-07-22 |
| 1700445707 | Courtney Lynn Race | Occupational Therapist | 4201 Lake Boone Trl, Raleigh, NC 27607-7512 | 2019-06-12 |
| 1285118513 | Amanda Erin Mcguire | Occupational Therapist | 4201 Lake Boone Trl, Raleigh, NC 27607-7512 | 2018-09-22 |
| 1790227858 | Kelly Walsh | Physical Therapist | 4201 Lake Boone Trl, Suite 4, Raleigh, NC 27607-7512 | 2016-11-07 |
| 1891145355 | Anna Lawrence | Speech-Language Pathologist | 4201 Lake Boone Trl, Suite 4, Raleigh, NC 27607-7512 | 2016-06-15 |
| 1629427836 | Christine A Halstead | Speech-Language Pathologist | 4201 Lake Boone Trl, Suite 4, Raleigh, NC 27607-7512 | 2016-06-08 |
| 1700231156 | Megan Puryear | Speech-Language Pathologist | 4201 Lake Boone Trl, Raleigh, NC 27607 | 2016-05-03 |
| 1710345913 | Carly Kohler | Occupational Therapist | 4201 Lake Boone Trl, Suite 4, Raleigh, NC 27607-7512 | 2016-02-02 |
| 1780064105 | Samantha Vrooman | Audiologist | 4201 Lake Boone Trl, Suite 105, Raleigh, NC 27607-7512 | 2015-06-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972093144 | Kyndra Lawson | Behavior Technician | 5121 Kingdom Way, Suite 100, Raleigh, NC 27607 | 2018-05-14 |
| 1578082905 | Margaret Roberts Bova | Dietitian, Registered | 4207 Lake Boone Trail, Suite 210, Raleigh, NC 27607 | 2017-09-18 |
| 1184141897 | Chricat Garrard | Nurse Practitioner | 4207 Lake Boone Trl Ste 200, Raleigh, NC 27607 | 2017-08-23 |
| 1487178620 | John Patrick Morton | Pharmacist | 2411 Landmark Dr, Raleigh, NC 27607 | 2017-07-31 |
| 1023538857 | Heather Margaret Mazzola | Audiologist | 7800 Lake Boone Trail, 100, Raleigh, NC 27607 | 2017-06-22 |
| 1790216984 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2411 Landmark Drive, Raleigh, NC 27607 | 2017-03-21 |
| 1558819516 | Corilin Nocito Meggitt | Nurse Practitioner | 4505 Fair Meadows Ln Ste 102, Raleigh, NC 27607 | 2016-09-19 |
| 1942757034 | Stacie Walker | Obstetrics & Gynecology | 4414 Lake Boone Trl Ste 311, Raleigh, NC 27607 | 2016-09-06 |
| 1831644533 | Alisa Smajlagic Howe | Nurse Practitioner | 4210 Lake Boone Trail, Rex Rehab & Nursing Center, Raleigh, NC 27607 | 2016-08-23 |
| 1235598632 | Yoseph Saleh | Dentist | 107 Minden Ln, Raleigh, NC 27607 | 2016-02-15 |
| Find all providers in zip 27607 | ||||
| Taxonomy Code | 2083P0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Public Health & General Preventive Medicine |
| Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467696807 | Thomas Warden Morris | Preventive Medicine | 514 Daniels St, Suite 187, Raleigh, NC 27605-1317 | 2009-04-29 |
| 1922246065 | Peter Delaney Morris | Preventive Medicine | 2020 Yonkers Rd, Raleigh, NC 27699-0001 | 2009-01-28 |
| 1588225759 | Wakemed Specialists Group, LLC | Preventive Medicine | 3024 New Bern Ave, Raleigh, NC 27610-1247 | 2019-06-27 |
| 1164536363 | John C Pittman | Preventive Medicine | 4505 Fair Meadows Ln, Raleigh, NC 27607-6465 | 2006-08-18 |
| 1720192651 | Wake Medical Associates, P.a. | Preventive Medicine | 4505 Fair Meadows Ln, Raleigh, NC 27607-6465 | 2006-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629445325 | Tonya Blache | Preventive Medicine | 1117 Chilmark Ave, Wake Forest, NC 27587-5334 | 2015-08-28 |
| 1366821191 | Health Hero Usa LLC | Preventive Medicine | 7845 Colony Rd, Suite C4 #262, Charlotte, NC 28226-7681 | 2015-05-26 |
| 1114196920 | Dianne Seaman Mathews | Preventive Medicine | 7601 Radin Rd, Clinic, Waxhaw, NC 28173-9158 | 2008-02-26 |
| 1891981247 | Charles Timothy Monroe | Preventive Medicine | 799 N Highland Ave, Winston Salem, NC 27102-0686 | 2007-09-19 |
| 1629283718 | Sharon Lee Norling | Preventive Medicine | 1507 Haywood Rd Ste E, Hendersonville, NC 28791-2333 | 2007-05-11 |
| 1982652558 | John Thomas Ashley | Preventive Medicine | 81 Horizon Hill Rd, Asheville, NC 28804-2429 | 2006-05-05 |
| 1679530752 | David F. Ward | Preventive Medicine | 35 W Jordan St, Brevard, NC 28712-3675 | 2006-05-01 |
| 1558833947 | Asha Garg Stern | Preventive Medicine | 16507 Northcross Dr Ste F, Huntersville, NC 28078-5082 | 2018-12-22 |
| 1053899849 | Deborah Shipley Porterfield | Preventive Medicine | 590 Manning Dr, Chapel Hill, NC 27599-7595 | 2018-08-02 |
| 1548769656 | Bowden Enterprise Services, LLC | Preventive Medicine | 7341 Windy Ct W, Bailey, NC 27807-8953 | 2018-02-04 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.