NEUROSURGICAL ASSOCIATES, P.C. (NPI# 1144295270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144295270 |
Entity Type | Organization |
Organization Name | NEUROSURGICAL ASSOCIATES, P.C. |
Practice Address |
4201 Lake Boone Trl Ste 202 Raleigh NC 27607-7512 |
Practice Telephone | 9192350500 |
Practice Fax Number | 9192350505 |
Mailing Telephone | 9192350500 |
Mailing Fax Number | 9192350505 |
Enumeration Date | 2006-02-22 |
Last Update Date | 2010-12-22 |
Authorized Official Name | SAMUEL K ST CLAIR (OWNER) |
Authorized Official Telephone | 9192350500 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | UNITED HEALTHCARE | 0605385 | 01 |
NC | AETNA | 4063806 | 01 |
NC | 89011GA | 05 | |
NC | MEDCOST | 97486 | 01 |
NC | FIRST HEALTH | 2070150 | 01 |
NC | CHOICE CARE NETWORK | 706943 | 01 |
NC | BCBS OF NC | 011GA | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407804008 | Neurosurgical Associates, P.C. | Specialist | 710 W 168th St, Room 425, New York, NY 10032-3726 | 2006-05-05 |
Entity Type | Entity Name | Entity Address |
---|---|---|
New York State Corporations | NEUROSURGICAL ASSOCIATES, P.C. | 710 West 168th Street, Room 425, New York, Ny 10032 |
Street Address |
4201 LAKE BOONE TRL STE 202 |
City | RALEIGH |
State | NC |
Zip Code | 27607-7512 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881680098 | Joseph Anthony Guzzo | Internal Medicine | 4201 Lake Boone Trl, Suite 104, Raleigh, NC 27607-7512 | 2005-09-22 |
1699383034 | Sarah Olivia Varner | Speech-Language Pathologist | 4201 Lake Boone Trl, Raleigh, NC 27607-7512 | 2020-07-22 |
1700445707 | Courtney Lynn Race | Occupational Therapist | 4201 Lake Boone Trl, Raleigh, NC 27607-7512 | 2019-06-12 |
1285118513 | Amanda Erin Mcguire | Occupational Therapist | 4201 Lake Boone Trl, Raleigh, NC 27607-7512 | 2018-09-22 |
1790227858 | Kelly Walsh | Physical Therapist | 4201 Lake Boone Trl, Suite 4, Raleigh, NC 27607-7512 | 2016-11-07 |
1891145355 | Anna Lawrence | Speech-Language Pathologist | 4201 Lake Boone Trl, Suite 4, Raleigh, NC 27607-7512 | 2016-06-15 |
1629427836 | Christine A Halstead | Speech-Language Pathologist | 4201 Lake Boone Trl, Suite 4, Raleigh, NC 27607-7512 | 2016-06-08 |
1700231156 | Megan Puryear | Speech-Language Pathologist | 4201 Lake Boone Trl, Raleigh, NC 27607 | 2016-05-03 |
1710345913 | Carly Kohler | Occupational Therapist | 4201 Lake Boone Trl, Suite 4, Raleigh, NC 27607-7512 | 2016-02-02 |
1780064105 | Samantha Vrooman | Audiologist | 4201 Lake Boone Trl, Suite 105, Raleigh, NC 27607-7512 | 2015-06-01 |
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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 |
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Taxonomy Code | 207T00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Neurological Surgery |
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538616289 | Private Diagnostic Clinic, Pllc | Neurological Surgery | 1212 Cedarhurst Dr Ste 102, Raleigh, NC 27609-5588 | 2016-09-09 |
1598702490 | Raleigh Neurosurgical Clinic, Inc. | Neurological Surgery | 5838 Six Forks Road, Suite 100, Raleigh, NC 27609 | 2006-05-31 |
1932174372 | Robin Frederick Koeleveld | Neurological Surgery | 4207 Lake Boone Trl Ste 220, Raleigh, NC 27607-6685 | 2006-02-21 |
1447225040 | Kimberly Livingston | Neurological Surgery | 5838 Six Forks Rd Ste 100, Raleigh, NC 27609-3893 | 2006-02-17 |
1477523082 | Robert Lacin | Neurological Surgery | 5838 Six Forks Rd, Suite 100, Raleigh, NC 27609-3885 | 2006-01-25 |
1760489967 | Kenneth John Rich | Neurological Surgery | 1100 Dresser Court, Suite 100, Raleigh, NC 27609 | 2005-07-01 |
1982247292 | Coral Elyse Stevens Hodges | Neurological Surgery | 3400 Wake Forest Rd, Raleigh, NC 27609-7317 | 2019-10-21 |
1659700144 | Rex Hospital Inc | Neurological Surgery | 4207 Lake Boone Trl, Suite 220, Raleigh, NC 27607-6684 | 2013-11-05 |
1134464597 | Rex Physicians LLC | Neurological Surgery | 4207 Lake Boone Trl, Suite 220, Raleigh, NC 27607-6684 | 2012-12-11 |
1477862969 | Lars Benjamin Gardner | Neurological Surgery | 5838 Six Forks Rd, Suite 100, Raleigh, NC 27609-3885 | 2010-09-30 |
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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.