SOUTHEASTERN IMAGING CONSULTANTS, LLC (NPI# 1053353508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053353508 |
| Entity Type | Organization |
| Organization Name | SOUTHEASTERN IMAGING CONSULTANTS, LLC |
| Practice Address |
3100 Duraleigh Rd Suite 101 Raleigh NC 27612-8104 |
| Mailing Address |
Po Box 16573 Chapel Hill NC 27516-6573 |
| Practice Telephone | 9197859091 |
| Practice Fax Number | 9197859776 |
| Mailing Telephone | 9199676646 |
| Mailing Fax Number | 9199676647 |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2009-01-13 |
| Authorized Official Name | RAYMOND F EVELAND (MEMBER) |
| Authorized Official Telephone | 3362025593 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085B0100X |
Radiology Specialization: Body Imaging |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 89015G6 | 05 | |
| NC | BLUE CROSS/BLUE SHIELD | 015G6 | 01 |
| Street Address |
3100 DURALEIGH RD SUITE 101 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27612-8104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699774000 | Calhoun D Cunningham IIi | Otolaryngology | 3100 Duraleigh Rd, Suite 300, Raleigh, NC 27612-8104 | 2005-07-18 |
| 1720450109 | Angelique Marie Mapile | Nurse Practitioner | 3100 Duraleigh Rd, Suite 201, Raleigh, NC 27612-8106 | 2015-10-26 |
| 1871982298 | The Gyn Center for Women, Pa | Obstetrics & Gynecology | 3100 Duraleigh Rd, Suite 307, Raleigh, NC 27612-8106 | 2015-01-22 |
| 1083012926 | Gretchen Ruth Correll | Occupational Therapist | 3100 Duraleigh Rd, Suite, Raleigh, NC 27612-8106 | 2014-12-09 |
| 1578983789 | Emily Mims | Pediatrics | 3100 Duraleigh Rd, Suite 300, Raleigh, NC 27612-8106 | 2014-04-27 |
| 1871919357 | Megan Heron | Physician Assistant | 3100 Duraleigh Rd, Suite 100, Raleigh, NC 27612-8106 | 2014-03-08 |
| 1518248004 | Kellie Bunn | Physician Assistant | 3100 Duraleigh Rd, Suite 300, Raleigh, NC 27612-8106 | 2011-08-29 |
| 1790065647 | Lindsay Brown Painter | Nurse Practitioner | 3100 Duraleigh Rd, Suite 100, Raleigh, NC 27612-8106 | 2011-08-24 |
| 1124311329 | Lillian Rogers Harris | Pediatrics | 3100 Duraleigh Rd, Suite 300, Raleigh, NC 27612-8106 | 2011-05-20 |
| 1083913040 | Meredith Boyette | Audiologist | 3100 Duraleigh Rd, Suite 300, Raleigh, NC 27612-8106 | 2011-03-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538714068 | George J Henderon | Orthotist | 5313 Duraleigh Road, Ste 151, Raleigh, NC 27612 | 2019-08-01 |
| 1902399223 | Iain Knox Nathaniel Irwin | Marriage & Family Therapist | 7701 Alborz Dr, Raleigh, NC 27612 | 2018-06-12 |
| 1225525884 | Patterns Behavioral Services North Carolina, Inc | Assistant Behavior Analyst | 3738 National Dr, Ste 110, Raleigh, NC 27612 | 2018-04-19 |
| 1053820720 | The Art Counseling L.L.C. | Psychologist | 4610 Twisted Oaks Drive Apt 1807, Raleigh, NC 27612 | 2017-09-26 |
| 1376052431 | Amanda Steed | Speech-Language Pathologist | 5519 Hamstead Crossing, Raleigh, NC 27612 | 2017-09-21 |
| 1295250991 | Neal H. Patel Dds Pllc | Dentist | 7211 Shellburne Dr, Raleigh, NC 27612 | 2017-08-03 |
| 1811426109 | Marquita Randolph-breeden | Behavior Technician | 5816 Creedmoor Road, Suite 104, Raleigh, NC 27612 | 2017-06-08 |
| 1336518554 | Travis Edward Williams | Counselor | 4801 Glenwood Ave., Suite 200, Raleigh, NC 27612 | 2015-09-17 |
| 1831587476 | Harris Teeter LLC | Pharmacy | 2051 W Millbrook Road, Raleigh, NC 27612 | 2015-01-06 |
| 1780072975 | Harris Teeter LLC | Pharmacy | 2051 W. Millbrook Road, Raleigh, NC 27612 | 2014-12-23 |
| Find all providers in zip 27612 | ||||
| Taxonomy Code | 2085B0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Body Imaging |
| A Radiology doctor of Osteopathy that specializes in Body Imaging. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831613363 | Rex Hospital Inc | Radiology | 4420 Lake Boone Trl, Raleigh, NC 27607-7505 | 2017-07-26 |
| 1669883492 | Kaleigh Lindeman Burke | Radiology | 3949 Browning Pl, Raleigh, NC 27609-6536 | 2014-05-14 |
| 1578503645 | John Matzko | Radiology | 3949 Browning Pl, Raleigh, NC 27609-6504 | 2006-06-07 |
| 1740220003 | William Greene Way Jr. | Radiology | 3949 Browning Pl, Raleigh, NC 27609-6504 | 2006-06-07 |
| 1134176019 | Duncan Peter Rougier-chapman | Radiology | 3949 Browning Pl, Raleigh, NC 27609-6504 | 2006-05-27 |
| 1841258761 | Paul Andrew Haugan | Radiology | 3949 Browning Pl, Raleigh, NC 27609-6504 | 2006-05-02 |
| 1720046634 | Carmelo Gullotto | Radiology | 3949 Browning Pl, Raleigh, NC 27609-6504 | 2006-05-02 |
| 1396703153 | Martin Rans Douglas | Radiology | 3949 Browning Pl, Raleigh, NC 27609-6504 | 2006-05-02 |
| 1710944186 | Holly Jean Burge | Radiology | 3949 Browning Pl, Raleigh, NC 27609-6504 | 2006-04-28 |
| 1609833011 | George Glenn Coates | Radiology | 3949 Browning Pl, Raleigh, NC 27609-6504 | 2006-04-28 |
| 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.