WAKEFIELD PEDIATRICS & ADOLESCENT MEDICINE,P.A. (NPI# 1023190915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023190915 |
| Entity Type | Organization |
| Organization Name | WAKEFIELD PEDIATRICS & ADOLESCENT MEDICINE,P.A. |
| Practice Address |
14341 New Falls of Neuse Suite 122 Raleigh NC 27614-8292 |
| Practice Telephone | 9195707010 |
| Practice Fax Number | 9195707020 |
| Mailing Telephone | 9195707010 |
| Mailing Fax Number | 9195707020 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. MILTON-JESUS CABALONA SEVILLA (PRESIDENT) |
| Authorized Official Telephone | 9195707010 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
NC | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 89130T6 | 05 |
| Street Address |
14341 NEW FALLS OF NEUSE SUITE 122 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27614-8292 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972610756 | Raleigh Orthopaedic Clinic Pa | Durable Medical Equipment & Medical Supplies | 14341 New Falls of Neuse, Suite 110, Raleigh, NC 27614-8292 | 2006-08-25 |
| 1720169741 | Ryan C. Galligan | Dentist | 14341 New Falls of Neuse, Suite 104, Raleigh, NC 27614-8292 | 2006-10-17 |
| 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 | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003326802 | Essential Health & Wellness Raleigh | Clinic/Center | 2011 Falls Valley Dr Ste 111, Raleigh, NC 27615-3451 | 2017-10-05 |
| 1932571809 | Horizon Family Medicine | Clinic/Center | 308 S Blount St, Apartment 403, Raleigh, NC 27601-3102 | 2015-10-30 |
| 1093146177 | Med One | Clinic/Center | 2431 Spring Forest Rd Ste 111, Raleigh, NC 27615-7525 | 2013-11-27 |
| 1255771119 | Neighborhealth Center, Inc. | Clinic/Center | 4201 Lake Boone Trl Ste 5, Raleigh, NC 27607-7511 | 2013-06-25 |
| 1821266198 | Octavian M. Belcea, Md Pa | Clinic/Center | 2810 Wakefield Pines Dr Ste 115, Raleigh, NC 27614-7078 | 2008-02-20 |
| 1861678120 | Daniel T Sicking Md Pa | Clinic/Center | 14341 New Falls of Neuse Ste 100, Raleigh, NC 27614-8292 | 2008-01-17 |
| 1649352162 | Smartcare Operations Group, Inc. | Clinic/Center | 6140 Falls of The Neuse Road, Raleigh, NC 27609 | 2006-10-20 |
| 1871121269 | Bethany Shaffer Flinchum | Clinic/Center | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2020-03-31 |
| 1639617392 | Private Diagnostic Clinic | Clinic/Center | 10211 Alm St, Suite 200, Raleigh, NC 27617-8221 | 2017-02-02 |
| 1477099471 | Private Diagnositc Clinic | Clinic/Center | 10211 Alm St, Suite 200, Raleigh, NC 27617-8221 | 2017-01-13 |
| 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.