NORTH WAKE INTERNAL MEDICINE ASSOCIATES (NPI# 1093958399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093958399 |
| Entity Type | Organization |
| Organization Name | NORTH WAKE INTERNAL MEDICINE ASSOCIATES |
| Practice Address |
10000 Falls of Neuse Rd Suite 201 Raleigh NC 27614-7838 |
| Mailing Address |
5810 Nancy Ridge Dr Suite 100 San Diego CA 92121-2834 |
| Practice Telephone | 9198486946 |
| Enumeration Date | 2009-04-16 |
| Last Update Date | 2009-04-16 |
| Authorized Official Name | KENNY HEINE (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 8586252990 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEDVANTX, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | 200000708 | NC | Suppliers |
| Street Address |
10000 FALLS OF NEUSE RD SUITE 201 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27614-7838 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417940529 | Behnaz V Atree | Specialist | 10000 Falls of Neuse Rd, Suite201, Raleigh, NC 27614-7838 | 2005-08-24 |
| 1467737601 | Ananta Subedi | Internal Medicine | 10000 Falls of Neuse Rd, Raleigh, NC 27614-7838 | 2011-10-19 |
| 1386817666 | Rosemarie C Newman Md Pa | Obstetrics & Gynecology | 10000 Falls of Neuse Rd, Ste 301, Raleigh, NC 27614 | 2008-04-08 |
| 1699836395 | Janice R Hong | Surgery | 10000 Falls of Neuse Rd, Suite 303, Raleigh, NC 27614-7838 | 2006-12-13 |
| 1912071903 | Wake Emergency Physicians Pa | Emergency Medicine | 10000 Falls of Neuse Rd, Raleigh, NC 27614 | 2006-11-20 |
| 1609897156 | Rosa Y Messer | Internal Medicine | 10000 Falls of Neuse Rd, Suite 201, Raleigh, NC 27614-7838 | 2006-07-21 |
| 1326065301 | North Wake Internal Medicine Associates Pllc | Clinic/Center | 10000 Falls of Neuse Rd, Suite 201, Raleigh, NC 27614-7838 | 2006-07-16 |
| 1194761452 | Wake Heart and Vascular Associates P.a. | Specialist | 10000 Falls of Neuse Rd, Suite 204, Raleigh, NC 27614-7838 | 2006-06-22 |
| 1447228283 | Anthony F Azzi | Internal Medicine | 10000 Falls of Neuse Rd, Raleigh, NC 27614-7838 | 2006-03-09 |
| 1265425375 | Susheel V Atree | Specialist | 10000 Falls of Neuse Rd, Suite 201, Raleigh, NC 27614-7838 | 2005-08-24 |
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| 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 | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033589072 | Urgent Cares of America North Carolina Inc | Non-Pharmacy Dispensing Site | 6010 Glenwood Ave, Raleigh, NC 27612-2602 | 2015-10-02 |
| 1952867095 | Associated Urologists of North Carolina Pa | Non-Pharmacy Dispensing Site | 3821 Ed Dr, Raleigh, NC 27612-8038 | 2019-02-13 |
| 1710331640 | Raleigh Durham Medical Group Pa | Non-Pharmacy Dispensing Site | 8020 Creedmoor Rd, Raleigh, NC 27613-4363 | 2016-04-18 |
| 1841600749 | Med One Medical Group | Non-Pharmacy Dispensing Site | 7019 Harps Mill Rd, Suite 200, Raleigh, NC 27615-3248 | 2014-04-30 |
| 1861810715 | Carolina Partners In Mental | Non-Pharmacy Dispensing Site | 1055 Dresser Ct, Raleigh, NC 27609-7323 | 2014-03-28 |
| 1346671732 | Avance Care Pa | Non-Pharmacy Dispensing Site | 7510 Ramble Way, Suite 107, Raleigh, NC 27616-4305 | 2013-12-10 |
| 1821338195 | Raleigh Durham Medical Group | Non-Pharmacy Dispensing Site | 701 Exposition Pl, Suite 208, Raleigh, NC 27615-3300 | 2013-02-25 |
| 1982949947 | Urgent Cares of America North Carolina Inc. | Non-Pharmacy Dispensing Site | 1311 E Millbrook Rd, Raleigh, NC 27609-5473 | 2012-12-03 |
| 1053656025 | Urgent Cares of America North Carolina Inc | Non-Pharmacy Dispensing Site | 6500 Creedmoor Rd, 110, Raleigh, NC 27613-3697 | 2012-12-03 |
| 1942581947 | Avance Care P.a. | Non-Pharmacy Dispensing Site | 12341 Strickland Rd, 102, Raleigh, NC 27613 | 2011-09-02 |
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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.