DR. BUKIE ADEFABI (NPI# 1023271954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023271954 |
| Entity Type | Individual |
| Full Name | DR. BUKIE ADEFABI |
| Credential | M.D. |
| Practice Address |
2511 Old Cornwallis Rd Suite 200 Durham NC 27713-1869 |
| Practice Telephone | 9199325700 |
| Practice Fax Number | 9199336881 |
| Mailing Telephone | (919) 932-5700 |
| Mailing Fax Number | 9199336881 |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 2014-02372 | NC | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 271415 | NY | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | MD443955 | PA | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 003953 | NY | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1190 Filbert Hwy Ste 110, York, SC 297459324 | 8036280004 | 8036286004 |
| 1690 Highway 160 W, Fort Mill, SC 297088024 | 8035477541 | 8035480122 |
| 515 Rivercrossing Dr Ste 180, Fort Mill, SC 297157900 | 8035782800 | 8035782810 |
| Street Address |
2511 OLD CORNWALLIS RD SUITE 200 |
| City | DURHAM |
| State | NC |
| Zip Code | 27713-1869 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417959560 | Shohreh Taavoni | Internal Medicine | 2511 Old Cornwallis Rd, Suite 200, Durham, NC 27713-1869 | 2005-08-10 |
| 1225637721 | Alexandria Wilson | Nurse Practitioner | 2511 Old Cornwallis Rd, Durham, NC 27713-1869 | 2020-10-26 |
| 1083223879 | Stanisha Natrice Williams | Nurse Practitioner | 2511 Old Cornwallis Rd, Durham, NC 27713-1869 | 2020-07-28 |
| 1306463898 | Susanna Gentry | Nurse Practitioner | 2511 Old Cornwallis Rd, Durham, NC 27713-1869 | 2020-06-30 |
| 1356977623 | Catelyn Vanauken Inman | Registered Nurse | 2511 Old Cornwallis Rd, Durham, NC 27713-1869 | 2020-03-19 |
| 1760033856 | Corinna Ter-antonyan | Nurse Practitioner | 2511 Old Cornwallis Rd, Durham, NC 27713-1869 | 2019-09-20 |
| 1952950859 | Megan D Long | Nurse Practitioner | 2511 Old Cornwallis Rd, Durham, NC 27713-1869 | 2019-09-04 |
| 1912560277 | Sharee Knox | Physician Assistant | 2511 Old Cornwallis Rd, Durham, NC 27713-1869 | 2019-04-22 |
| 1245792654 | Rebecca Waters | Nurse Practitioner | 2511 Old Cornwallis Rd, Durham, NC 27713-1869 | 2019-04-03 |
| 1932664448 | Elizabeth Jordan Barnes | Nurse Practitioner | 2511 Old Cornwallis Rd, Durham, NC 27713-1869 | 2019-02-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558977074 | Zoe Wellness | Clinic/Center | 5322 Nc 55, 102, Durham, NC 27713 | 2020-09-21 |
| 1194352542 | Mariah Davis | Counselor | 1822 East Hwy Nc 54, Suite 300, Durham, NC 27713 | 2020-03-25 |
| 1316589138 | Monarch | Community/Behavioral Health | 1513 Piperwood Court, Durham, NC 27713 | 2019-10-14 |
| 1205486081 | Lisa Mesmer Barnes | Nurse Practitioner | 5309hwy 55, Suite 105, Durham, NC 27713 | 2019-09-13 |
| 1497315352 | Mary Therese Wood | Social Worker | 1822 E Highway 54, Suite 300, Durham, NC 27713 | 2019-06-13 |
| 1720558307 | Kevin D Simmons | Counselor | 1822 Nc Hwy 54 Suite 300, Durham, NC 27713 | 2018-11-27 |
| 1790265585 | Kelli Cryer | Counselor | 54 E Nc Hwy 1822, Suite 300, Durham, NC 27713 | 2018-08-21 |
| 1477039253 | Mahavir Rx, LLC | Pharmacy | 6216 Fayetteville Rd Ste 105, Durham, NC 27713 | 2018-07-16 |
| 1811482862 | Tessa Taylor | Dentist | 2515 E Nc Highway 54 Ste 2000, Durham, NC 27713 | 2018-06-22 |
| 1013401579 | Emily Louise Haller | Counselor | 1822 E Hwy 54, Suite 300, Durham, NC 27713 | 2018-06-19 |
| Find all providers in zip 27713 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750923215 | Carolina Health Clinic | Family Medicine | 2634 Durham Chapel Hill Blvd Ste 216, Durham, NC 27707-2800 | 2019-10-16 |
| 1235789215 | Rachel Cahoon Gray | Family Medicine | 3601 Grouse Ct, Durham, NC 27704-2488 | 2019-09-12 |
| 1285108209 | Tywana Donaldson | Family Medicine | 30 Medicine Circle, Durham, NC 27710-3038 | 2019-01-12 |
| 1396247839 | Better Life Family Center | Family Medicine | 308 S Woodcrest St Apt 5, Durham, NC 27703-3374 | 2018-02-28 |
| 1306378005 | Southpoint Family Medicine, Pllc | Family Medicine | 1515 W Nc Highway 54 Ste 130, Durham, NC 27707-5575 | 2017-03-31 |
| 1174068803 | Theodore Bruno | Family Medicine | 12 Pleasant Ter, Durham, CT 06422-2305 | 2017-01-04 |
| 1588018550 | Asiyah Zahra Mikell | Family Medicine | 516 Tall Oaks Dr, Durham, NC 27713-9358 | 2016-04-15 |
| 1114380797 | Alexa Maureen Mieses Malchuk | Family Medicine | 3708 Mayfair St., Suite 100, Durham, NC 27707 | 2016-04-01 |
| 1730593898 | Senait Fremichael Efrem | Family Medicine | 1821 Hillandale Rd Ste 24b, Durham, NC 27705-2671 | 2014-06-17 |
| 1699187963 | James Barlow | Family Medicine | 7 Mill Road Plz # C, Durham, NH 03824-3047 | 2014-05-21 |
| Find all providers in DURHAM | ||||
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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.