REX SURGERY CENTER OF WAKEFIELD, LLC (NPI# 1013425933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013425933 |
Entity Type | Organization |
Organization Name | REX SURGERY CENTER OF WAKEFIELD, LLC |
Practice Address |
11200 Governor Manly Way Ste 110 Raleigh NC 27614-7360 |
Practice Telephone | 9195707510 |
Practice Fax Number | 9195707511 |
Mailing Telephone | 9195707510 |
Mailing Fax Number | 9195707511 |
Enumeration Date | 2018-01-12 |
Last Update Date | 2018-01-12 |
Authorized Official Name | ANDREW KENNETH ZUKOWSKI (CFO) |
Authorized Official Telephone | 9197846422 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
Street Address |
11200 GOVERNOR MANLY WAY STE 110 |
City | RALEIGH |
State | NC |
Zip Code | 27614-7360 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558370734 | Brett Edward Dorfman | Otolaryngology | 11200 Governor Manly Way Ste 110, Raleigh, NC 27614-7360 | 2006-08-05 |
1457405151 | Anne Ogilvie Brown | Nurse Anesthetist, Certified Registered | 11200 Governor Manly Way Ste 110, Raleigh, NC 27614-7360 | 2007-01-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215419379 | Patrick Orion Finn | Family Medicine | 10010 Falls of The Neuse Rd, Suite 11, Raleigh, NC 27614 | 2018-09-05 |
1538652557 | Amn Medical Group Pllc | General Practice | 13200 Falls of Neuse Rd Ste 113, Raleigh, NC 27614 | 2018-06-13 |
1497201727 | Kelsey Scheerer | Student in an Organized Health Care Education/Training Program | 11200 Governor Way, Raleigh, NC 27614 | 2016-08-28 |
1538521463 | Liane Rudd | Speech-Language Pathologist | 4700 Norbury Place, Raleigh, NC 27614 | 2016-03-21 |
1891088068 | Michelle Lynn Thompson | Pharmacist | 10930 Raven Ridge Road, Raleigh, NC 27614 | 2011-05-22 |
1821396185 | Bettye Jo Johnson | Physical Medicine & Rehabilitation | 11200 Governor Manly Way, Suite 305, Orhopaedic Specialists of North Carolina, Pa, Raleigh, NC 27614 | 2011-03-09 |
1982900650 | Blake Jennings Lamm | Pharmacist | 14460 New Falls of Neuse Rd, Suite 165, Raleigh, NC 27614 | 2011-01-28 |
1013223023 | Lauren S Lawler | Pharmacist | 11201 Durant Road, Raleigh, NC 27614 | 2010-08-27 |
1588985378 | Kashif Mazhar | General Acute Care Hospital | 10010 Falls of Neuse Road, Suite #12, Raleigh, NC 27614 | 2010-06-16 |
1922240100 | Harris Teeter, LLC | Durable Medical Equipment & Medical Supplies | 14520 John Rex Blvd, Raleigh, NC 27614 | 2009-04-02 |
Find all providers in zip 27614 |
Taxonomy Code | 261QA1903X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Ambulatory Surgical |
Definition to come... |
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---|---|---|---|---|
1396089108 | Triangle Orthopaedics Surgery Center | Clinic/Center | 7921 Acc Blvd, Raleigh, NC 27617 | 2012-11-16 |
1518162445 | Southern Eye Associates, Pa | Clinic/Center | 2801 Blue Ridge Rd Ste 200, Raleigh, NC 27607-6474 | 2007-06-20 |
1073578019 | Blue Ridge Day Surgery Center, Lp | Clinic/Center | 2308 Wesvill Ct, Raleigh, NC 27607-2949 | 2006-04-20 |
1275199978 | Rac Surgery Center LLC | Clinic/Center | 3031 New Bern Ave, Raleigh, NC 27610-2988 | 2019-05-17 |
1932634029 | Surgical Center for Dental Professionals of Nc LLC | Clinic/Center | 2620 New Bern Ave, Raleigh, NC 27610-1821 | 2017-04-26 |
1184987737 | Orthopaedic Surgery Center of Raleigh LLC | Clinic/Center | 3001 Edwards Mill Rd, Raleigh, NC 27612 | 2012-06-19 |
1972874907 | Capital City Surgery Center, LLC | Clinic/Center | 23 Sunnybrook Rd, Suite 100, Raleigh, NC 27610-1855 | 2012-01-23 |
1376814368 | Stelor, LLC | Clinic/Center | 2600 Atlantic Ave, Raleigh, NC 27604-1502 | 2012-01-23 |
1497084982 | Wake Endoscopy Center, LLC | Clinic/Center | 2601 Lake Dr, Suite 201, Raleigh, NC 27607-6688 | 2009-12-14 |
1083790679 | National Women's Health Organization of Raleigh, Inc | Clinic/Center | 3613 Haworth Dr, Raleigh, NC 27609-7218 | 2006-10-27 |
Find all providers in RALEIGH |
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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.