DR. SOMA JOHNKUTTY


Address: 4551 New Bern Ave Ste 160, Raleigh, NC 27610-1552
Phone: 9198617793

DR. SOMA JOHNKUTTY (NPI# 1073626974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073626974
Entity Type Individual
Full Name DR. SOMA JOHNKUTTY
Credential M.D.
Practice Address 4551 New Bern Ave Ste 160
Raleigh
NC 27610-1552
Mailing Address 260 Horizon Dr
Raleigh
NC 27615-4922
Practice Telephone 9198617793
Practice Fax Number 9194881458
Mailing Telephone 9194880015
Mailing Fax Number 9192770066
Enumeration Date 2006-08-16
Last Update Date 2013-07-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208000000X Pediatrics 2006-01100 NC Allopathic & Osteopathic Physicians
N 208000000X Pediatrics 225042 NY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NC 5908436 05

Office Location

Street Address 4551 NEW BERN AVE STE 160
City RALEIGH
State NC
Zip Code 27610-1552

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801895149 Kathleen Flynn Pediatrics 4551 New Bern Ave Ste 160, Raleigh, NC 27610-1552 2005-07-19
1619587904 Danielle Nicole Lewis Nurse Practitioner 4551 New Bern Ave Ste 160, Raleigh, NC 27610-1552 2020-08-03
1295386886 Aubrey Michelle Woodson Nurse Practitioner 4551 New Bern Ave Ste 160, Raleigh, NC 27610-1552 2019-09-25
1255991295 Heather Lannette Dellinger Nurse Practitioner 4551 New Bern Ave Ste 160, Raleigh, NC 27610-1552 2019-06-20
1710278080 Growing Child Office Meds, Inc. Pharmacy 4551 New Bern Ave Ste 160, Raleigh, NC 27610-1552 2011-04-21
1730406133 Sophia Nadine Stephens Nurse Practitioner 4551 New Bern Ave Ste 160, Raleigh, NC 27610-1552 2010-04-23
1265590426 Kathryn Anne Wood Calvillo Advanced Practice Midwife 4551 New Bern Ave Ste 160, Raleigh, NC 27610-1552 2006-12-04

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609499243 Elizabeth Ranganai Mavindidze Social Worker Wakemed Health and Hospitals, 3000 New Bern Avenue, Raleigh, NC 27610 2020-05-18
1851958839 Alex & Associates, P.C. Dentist 1600 Cross Link Road, Unit 103, Raleigh, NC 27610 2019-05-24
1639646367 Carol Mary Medins Dietitian, Registered Wakemed Raleigh Medical Park, 23 Sunnybrook Road, Suite 200, Raleigh, NC 27610 2018-10-31
1144714601 Walgreen Co Durable Medical Equipment & Medical Supplies 123 Sunnybrook Rd Ste 150, Raleigh, NC 27610 2018-06-19
1417446006 Eagles Eye Lab, Inc Clinical Medical Laboratory 4501 New Bern Ave, Ste: 130, Raleigh, NC 27610 2018-05-09
1316465206 Jeffery King Neer Social Worker 3010 Falstaff Rd., C/o Unc Actt, Raleigh, NC 27610 2017-08-31
1083139885 Kelsey Daniel Mccleave Social Worker 3630 Enduring Freedom Drive, Raleigh, NC 27610 2017-08-14
1891219093 Tarheel Residential Services Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 4840 Quarryman Road, Raleigh, NC 27610 2017-07-29
1508214826 Compassionate Care Providers LLC Respite Care 5110 Wetlands, Raleigh, NC 27610 2016-05-26
1730552530 Matthew Belair Pharmacist 1601-51 Cross Link Rd, Raleigh, NC 27610 2015-11-03
Find all providers in zip 27610

Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174165187 Breana Lee Chappuis Pediatrics 4605 Lord Mario Ct, Raleigh, NC 27610-8718 2019-10-10
1295217008 Centricity Care, Pllc Pediatrics 2417 Bryarton Woods Dr, Raleigh, NC 27606-4022 2018-08-29
1073914024 Little Oaks Pediatrics, Pllc Pediatrics 13200 Strickland Rd Ste 120, Raleigh, NC 27613-5212 2014-09-09
1700144649 Brett L Maclean Pediatrics 5240 Knollwood Rd, Raleigh, NC 27609-4512 2012-04-29
1134412943 Michael David Brown Pediatrics 3000 Newbern Ave, Dept of Pediatrics, Raleigh, NC 27610 2011-05-26
1801041157 James Gordon Still Pediatrics 4816 Oak Way, Raleigh, NC 27613-6346 2008-11-28
1427231943 Mdfamily Medical Group Pediatrics 1100 N Raleigh Blvd Ste 111, Raleigh, NC 27610-1076 2007-12-06
1144415340 Elizabeth Ann Briere Pediatrics 260 Horizon Dr, Raleigh, NC 27615-4922 2007-09-11
1285831347 Mia N Armstrong Pediatrics 23 Sunnybrook Rd Ste 116, Raleigh, NC 27610-7401 2007-06-29
1558405498 Ceyhun Ozturk Pediatrics 13200 Strickland Rd, Suite 120, Raleigh, NC 27613-5212 2007-02-16
Find all providers in RALEIGH

Competitor

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City RALEIGH
Zip Code 27610

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Dataset Information

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.

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