RALEIGH GERIATRICS, P.A. (NPI# 1104939628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104939628 |
| Entity Type | Organization |
| Organization Name | RALEIGH GERIATRICS, P.A. |
| Practice Address |
3921 Sunset Ridge Rd Suite 101 Raleigh NC 27607-6677 |
| Mailing Address |
Po Box 10750 Raleigh NC 27605-0750 |
| Practice Telephone | 9197827576 |
| Practice Fax Number | 9197827573 |
| Mailing Telephone | 9197827576 |
| Mailing Fax Number | 9197827573 |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2015-12-11 |
| Authorized Official Name | MARTIN JANIS (PRESIDENT) |
| Authorized Official Telephone | 9197827576 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
9900551 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8912794 | 05 |
| Street Address |
3921 SUNSET RIDGE RD SUITE 101 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27607-6677 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285680462 | Kimberly Marie Peters | Physical Therapist | 3921 Sunset Ridge Rd, Suite 101, Raleigh, NC 27607-6677 | 2006-05-26 |
| 1396982039 | Georgia Tina Sgouros | Social Worker | 3921 Sunset Ridge Rd, Suite 302, Raleigh, NC 27607-6677 | 2009-01-16 |
| 1982881454 | Digitrace Care Services Inc | Durable Medical Equipment & Medical Supplies | 3921 Sunset Ridge Rd, Suite 103, Raleigh, NC 27607-6677 | 2008-01-28 |
| 1538275482 | Laurinda L Queen | Dermatology | 3921 Sunset Ridge Rd, Suite 202, Raleigh, NC 27607-6449 | 2006-08-22 |
| 1003832734 | Eva C Ferrell | Counselor | 3921 Sunset Ridge Rd, Suite 302, Raleigh, NC 27607-6677 | 2006-07-14 |
| 1811927064 | Sleepmed Therapies Inc. | Durable Medical Equipment & Medical Supplies | 3921 Sunset Ridge Rd, Suite 103b, Raleigh, NC 27607 | 2006-07-04 |
| 1427087253 | Carolina Diagnostics Inc | Durable Medical Equipment & Medical Supplies | 3921 Sunset Ridge Rd, Suite 103a, Raleigh, NC 27607 | 2006-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972093144 | Kyndra Lawson | Behavior Technician | 5121 Kingdom Way, Suite 100, Raleigh, NC 27607 | 2018-05-14 |
| 1578082905 | Margaret Roberts Bova | Dietitian, Registered | 4207 Lake Boone Trail, Suite 210, Raleigh, NC 27607 | 2017-09-18 |
| 1184141897 | Chricat Garrard | Nurse Practitioner | 4207 Lake Boone Trl Ste 200, Raleigh, NC 27607 | 2017-08-23 |
| 1487178620 | John Patrick Morton | Pharmacist | 2411 Landmark Dr, Raleigh, NC 27607 | 2017-07-31 |
| 1023538857 | Heather Margaret Mazzola | Audiologist | 7800 Lake Boone Trail, 100, Raleigh, NC 27607 | 2017-06-22 |
| 1790216984 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2411 Landmark Drive, Raleigh, NC 27607 | 2017-03-21 |
| 1558819516 | Corilin Nocito Meggitt | Nurse Practitioner | 4505 Fair Meadows Ln Ste 102, Raleigh, NC 27607 | 2016-09-19 |
| 1942757034 | Stacie Walker | Obstetrics & Gynecology | 4414 Lake Boone Trl Ste 311, Raleigh, NC 27607 | 2016-09-06 |
| 1831644533 | Alisa Smajlagic Howe | Nurse Practitioner | 4210 Lake Boone Trail, Rex Rehab & Nursing Center, Raleigh, NC 27607 | 2016-08-23 |
| 1235598632 | Yoseph Saleh | Dentist | 107 Minden Ln, Raleigh, NC 27607 | 2016-02-15 |
| Find all providers in zip 27607 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508906199 | Capital Internal Medicine & Geriatrics, P.a. | Internal Medicine | 3225 Blue Ridge Rd Ste 113, Raleigh, NC 27612-8060 | 2007-02-06 |
| 1861509481 | Martin Janis | Internal Medicine | 3921 Sunset Ridge Rd Ste 101, Raleigh, NC 27607-6677 | 2006-08-23 |
| 1255372371 | James Sheridan Parsons | Internal Medicine | 704 W Jones St, Raleigh, NC 27603-1427 | 2006-06-09 |
| 1174591119 | Iftequar Unnisa Ahmed | Internal Medicine | 3225 Blue Ridge Rd 113, Raleigh, NC 27612-8060 | 2006-03-08 |
| 1093705386 | Thomas F. Kline | Internal Medicine | 6409 Pernod Way, Raleigh, NC 27613-7104 | 2005-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205324449 | Innovative Healthcare Management Provider Group | Internal Medicine | 19401 Old Jetton Rd Ste 100, Cornelius, NC 28031-6575 | 2018-04-24 |
| 1396241030 | Erickson Health Medical Group of North Carolina, PC | Internal Medicine | 2030 Windsor Run Lane, Matthews, NC 28105 | 2018-04-02 |
| 1710480066 | Novant Medical Group, Inc. | Internal Medicine | 1450 Matthews Township Pkwy Ste 400, Matthews, NC 28105-5336 | 2018-03-13 |
| 1710306204 | Serena Wong | Internal Medicine | 40 Duke Medicine Cir Rm 2512, Durham, NC 27710-2527 | 2014-04-10 |
| 1033554811 | Ben Adam Blomberg | Internal Medicine | 6011 Farrington Rd, Suite 101, Chapel Hill, NC 27517-8168 | 2013-05-07 |
| 1881941706 | Robert Sullivan | Internal Medicine | 294 Highview Dr, Chapel Hill, NC 27517-7911 | 2012-08-09 |
| 1780974584 | Claire Kathryn Larson | Internal Medicine | 5003 Old Clinic Bldg Cb 7550, Chapel Hill, NC 27599-2204 | 2011-04-13 |
| 1316236649 | Mia Yang | Internal Medicine | Internal Medicine Section On Gerontology &, 1st Floor Sticht Center, Medical Center Boulevard, Winston Salem, NC 27157-0001 | 2011-04-07 |
| 1659673838 | Moses Cone Affiliated Physicians, Inc. | Internal Medicine | 1200 N Elm Street, Moses Cone Health System, Administrativeservices,ste201, Greensboro, NC 27401-1020 | 2010-11-22 |
| 1871821728 | Pamela Estelle Gutman | Internal Medicine | 189 Country Club Rd, Asheville, NC 28804 | 2009-12-03 |
| Find all providers with the same taxonomy | ||||
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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.