DR. RAKESH GUPTA (NPI# 1063417525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063417525 |
| Entity Type | Individual |
| Full Name | DR. RAKESH GUPTA |
| Credential | MD |
| Practice Address |
1880 Quiet Cv Fayetteville NC 28304-3857 |
| Mailing Address |
Po Box 87388 Fayetteville NC 28304-7388 |
| Practice Telephone | 9103232477 |
| Practice Fax Number | 9103235931 |
| Mailing Telephone | 9103232477 |
| Mailing Fax Number | 9103235931 |
| Enumeration Date | 2005-06-20 |
| Last Update Date | 2014-03-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 39813 | NC | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8937948 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366495780 | Rakesh Kumar Gupta | Internal Medicine | 10555 62nd Dr, Suite 1- H, Forest Hills, NY 11375-1101 | 2006-05-18 |
| 1871574996 | Rakesh Chander Gupta | Internal Medicine | 341 E Main St, Suite 100, San Jacinto, CA 92583-4231 | 2005-11-07 |
| 1922144302 | Rakesh Gupta | Internal Medicine | 9033 Springfield Blvd, Queens Village, NY 11428-1352 | 2007-01-30 |
| 1285704494 | Rakesh Kumar Gupta | Internal Medicine | 1501 Wabash St, Ste 303, Michigan City, IN 46360 | 2006-11-08 |
| 1639197783 | Rakesh Chander Gupta | Anesthesiology | 120 Madison Ave, Suite D, Mount Holly, NJ 08060 | 2006-07-17 |
| 1639120561 | Rakesh Gupta | Internal Medicine | 67 Gar Hwy, Primacare Sleep Center, Somerset, MA 02726-1220 | 2006-05-15 |
| 1972554020 | Rakesh Vardhan Gupta | Internal Medicine | 20 Hospital Dr, Suite 12 B, Toms River, NJ 08755-6434 | 2006-05-13 |
| 1508815085 | Rakesh K Gupta | Internal Medicine | 1601 Kirkwood Hwy, Wilmington, DE 19805-4917 | 2006-05-10 |
| 1750349528 | Rakesh Gupta | Internal Medicine | 10500 Montgomery Rd, Cincinnati, OH 45242-4402 | 2006-05-02 |
| 1538141197 | Rakesh K Gupta | Internal Medicine | 500 Lincoln Park Blvd, Suite 100, Kettering, OH 45429-3492 | 2005-11-18 |
| Street Address |
1880 QUIET CV |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28304-3857 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952306599 | Cape Fear Center for Digestive Diseases, Pa | Specialist | 1880 Quiet Cv, Fayetteville, NC 28304-3857 | 2005-06-20 |
| 1750926069 | Samantha Hall | Nurse Practitioner | 1880 Quiet Cv, Fayetteville, NC 28304-3857 | 2019-11-11 |
| 1013562982 | Rachel Catherine Kellomaki | Physician Assistant | 1880 Quiet Cv, Fayetteville, NC 28304-3857 | 2019-08-07 |
| 1790211787 | Hannah Lisa Garehan | Physician Assistant | 1880 Quiet Cv, Fayetteville, NC 28304-3857 | 2017-05-11 |
| 1376082040 | Lance William Harris | Physician Assistant | 1880 Quiet Cv, Fayetteville, NC 28304-3857 | 2017-02-15 |
| 1609239672 | Laura Lanier | Nurse Practitioner | 1880 Quiet Cv, Fayetteville, NC 28304-3857 | 2016-03-29 |
| 1437521838 | Tilani Nadeau | Physician Assistant | 1880 Quiet Cv, Fayetteville, NC 28304-3857 | 2015-10-24 |
| 1659618791 | Staci Marie Pessetti | Physician Assistant | 1880 Quiet Cv, Fayetteville, NC 28304-3857 | 2013-01-09 |
| 1104179720 | Lindsay B Tart | Nurse Practitioner | 1880 Quiet Cv, Fayetteville, NC 28304-3857 | 2012-10-19 |
| 1639421027 | Meaghan E Eddy | Nurse Practitioner | 1880 Quiet Cv, Fayetteville, NC 28304-3857 | 2012-10-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598301061 | Coast To Coast Bilingual Counseling | Social Worker | 910 Hope Mills Road, Fayetteville, NC 28304 | 2019-11-20 |
| 1811530561 | Frances L. Hurst | Technician | 6732 Carloway Dr, Fayetteville, NC 28304 | 2019-10-25 |
| 1538717764 | Rose Mary A O'conner | Technician | 3530 Madison Ave, Fayetteville, NC 28304 | 2019-08-30 |
| 1932756087 | Sally Frances Jones | Technician | 2053 Mango Circle, Fayetteville, NC 28304 | 2019-08-23 |
| 1326528803 | Jeneen Yvette Townsend | Counselor | 2671 Adams Lake Dr Apt F, Fayetteville, NC 28304 | 2018-08-15 |
| 1780179580 | Ma Cornelia Villavicencio Leano | Nurse Practitioner | 3081 Stone Carriage Cir Apt Z, Fayetteville, NC 28304 | 2018-06-25 |
| 1861986267 | Pediatric After Hours Care of Fayetteville | Pediatrics | 556 Sandhurst Drive, Fayetteville, NC 28304 | 2018-06-19 |
| 1700386133 | Good Night Medical of Ohio, LLC | Durable Medical Equipment & Medical Supplies | 405 Owen Dr Ste 202, Fayetteville, NC 28304 | 2018-02-12 |
| 1003321365 | Valleygate Dental Surgery Center of Fayetteville, LLC | Dentist | 2038 Litho Place, Fayetteville, NC 28304 | 2017-12-08 |
| 1871004663 | The Salt Project | Marriage & Family Therapist | 1611-b Owen Dr., Fayetteville, NC 28304 | 2017-10-19 |
| Find all providers in zip 28304 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235777558 | Washington Regional Medical System | Specialist | 3264 N North Hills Blvd, Fayetteville, AR 72703 | 2019-12-17 |
| 1962062240 | Shenika Twanet Judd | Specialist | 724 N Reilly Rd Ste C, Fayetteville, NC 28303-6042 | 2019-06-18 |
| 1033676358 | Suzanne Lynn Washburn | Specialist | 307 Barcelona Drive 26e, Fayetteville, NC 28303-5768 | 2019-02-22 |
| 1861965592 | Hierarchy for Wellness | Specialist | 805 S Glynn St Bldg 127 142, Fayetteville, GA 30214 | 2019-01-04 |
| 1194203075 | Dominique A Hunter | Specialist | 100 Hay St Fl 6, Fayetteville, NC 28301-5676 | 2018-08-01 |
| 1699286260 | Carla Jai Simmons | Specialist | 1300 Bragg Blvd Ste 1318, Fayetteville, NC 28301-4296 | 2017-10-23 |
| 1952825838 | Mary L Hill | Specialist | 185 Thornton Dr., Fayetteville, GA 30214 | 2017-08-01 |
| 1295288215 | Jillian Diffenbaugh | Specialist | 1019 Hay St, Fayetteville, NC 28305-5315 | 2016-07-26 |
| 1437534633 | Mark Hinton | Specialist | 131 Barnhill Arena Office, Office 116a, Fayetteville, AR 72701 | 2015-07-29 |
| 1841600830 | Trimana LLC | Specialist | 2875 E Joyce Blvd, Fayetteville, AR 72703-4524 | 2014-04-30 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28304 |
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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.