MRS. KATHERINE MCDOUGAL (NPI# 1154708402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154708402 |
| Entity Type | Individual |
| Full Name | MRS. KATHERINE MCDOUGAL |
| Credential | PA-C |
| Practice Address |
107 Sunnybrook Rd Raleigh NC 27610-1827 |
| Practice Telephone | 9849744832 |
| Mailing Telephone | 9849744832 |
| Enumeration Date | 2015-05-06 |
| Last Update Date | 2020-08-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
0010-05730 | NC | Allopathic & Osteopathic Physicians |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
0010-05730 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 1154708402 | 05 |
| Street Address |
107 SUNNYBROOK RD |
| City | RALEIGH |
| State | NC |
| Zip Code | 27610-1827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407854730 | Joseph Balla | Psychiatry & Neurology | 107 Sunnybrook Rd, Raleigh, NC 27610-1827 | 2005-07-11 |
| 1750908430 | William Harold Smith | Nurse Practitioner | 107 Sunnybrook Rd, Raleigh, NC 27610-1827 | 2020-06-29 |
| 1598391666 | Marissa Lauren Jones | Recreation Therapist | 107 Sunnybrook Rd, Raleigh, NC 27610-1827 | 2020-03-20 |
| 1790310274 | Adepeju Adeola Bolaji | Registered Nurse | 107 Sunnybrook Rd, Raleigh, NC 27610-1827 | 2020-03-05 |
| 1326680851 | Martha Hawkins | Counselor | 107 Sunnybrook Rd, Raleigh, NC 27610-1827 | 2019-10-16 |
| 1043852957 | Jonathan Conyers Levine | Social Worker | 107 Sunnybrook Rd, Raleigh, NC 27610-1827 | 2019-10-11 |
| 1477109940 | Lisa Beresnyak | Counselor | 107 Sunnybrook Rd, Raleigh, NC 27610-1827 | 2019-08-12 |
| 1720646227 | Nicole Ann Stoneback | Registered Nurse | 107 Sunnybrook Rd, Raleigh, NC 27610-1827 | 2019-05-31 |
| 1942706981 | Pamela Petack Dingman | Occupational Therapy Assistant | 107 Sunnybrook Rd, Raleigh, NC 27610-1827 | 2018-03-30 |
| 1093234460 | Crystal Elizabeth Russell | Counselor | 107 Sunnybrook Rd, Raleigh, NC 27610-1827 | 2017-09-16 |
| Find all providers in the same location | ||||
| 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 Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285195768 | Rebecca Lee Hill | Physician Assistant | 3100 Blue Ridge Rd Ste 103, Raleigh, NC 27612-8002 | 2019-03-27 |
| 1306300520 | Lanlen Luke Venable | Physician Assistant | 4414 Lake Boone Trl Ste 502, Raleigh, NC 27607-7521 | 2019-01-23 |
| 1942723788 | Elizabeth Grace Carmen Lee Macarthur | Physician Assistant | 10211 Alm St Ste 1200, Raleigh, NC 27617-8221 | 2017-07-24 |
| 1164969168 | Grace Klinic, LLC | Physician Assistant | 6516 Falls of Neuse Rd, 110, Raleigh, NC 27615-6847 | 2017-01-27 |
| 1982075073 | David Zuckerman | Physician Assistant | 1311 E Millbrook Rd Ofc, Raleigh, NC 27609-5473 | 2015-10-14 |
| 1649570060 | Jeffrey M Rosowski | Physician Assistant | 3320 Executive Dr Ste 222, Raleigh, NC 27609-7445 | 2010-11-02 |
| 1023332020 | Brooke Register Lilley | Physician Assistant | 6500 Creedmoor Rd., Raleigh, NC 27613 | 2010-03-18 |
| 1548582620 | Melanie Fox Langston | Physician Assistant | 7870 Alexander Promenade Pl, Raleigh, NC 27617-7350 | 2010-02-17 |
| 1184863086 | Lisa Marie Hill | Physician Assistant | 2709 Blue Ridge Rd Ste 320, Raleigh, NC 27607-6462 | 2009-02-17 |
| 1538248125 | Harry David Kurtz | Physician Assistant | 4509 Creedmoor Rd Ste 201, Raleigh, NC 27612-3813 | 2006-11-03 |
| Find all providers in RALEIGH | ||||
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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.