DR. EDGAR XAVIER CORREA (NPI# 1194708263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194708263 |
Entity Type | Individual |
Full Name | DR. EDGAR XAVIER CORREA |
Credential | DPM |
Practice Address |
11200 Governor Manly Way Suite 309 Raleigh NC 27614-8599 |
Mailing Address |
Po Box 1107 Wake Forest NC 27588-1107 |
Practice Telephone | 9195629410 |
Practice Fax Number | 9195622948 |
Mailing Telephone | 9195629410 |
Mailing Fax Number | 9195622948 |
Enumeration Date | 2005-11-22 |
Last Update Date | 2018-03-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213E00000X | Podiatrist | 405 | NC | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ALLIANCE | 211980 | 01 | |
PARTNERS | 46486 | 01 | |
MAMSI DURHAM OFFICE | 4119980 | 01 | |
MAMSI RALEIGH OFFICE | 2119980 | 01 | |
BCBS | 0807J | 01 | |
WELLPATH | 176036 | 01 | |
AETNA | 2652188 | 01 | |
CIGNA | 3377199011 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
200 W Parkview Dr Ste B, Henderson, NC 275365958 | 9195629410 | 9195622948 |
6602 Knightdale Blvd Ste 310, Knightdale, NC 275456526 | 9195629410 | 9195622948 |
2605 Blue Ridge Rd Ste 320, Raleigh, NC 276076475 | 9195629410 | 9195622948 |
103 Professional Park Ste A, Oxford, NC 275652581 | 9195629410 | 9195622948 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174791818 | Edgar Correa | Counselor | 20 Community Ln, Liberty, NY 12754-2851 | 2008-02-15 |
Street Address |
11200 GOVERNOR MANLY WAY SUITE 309 |
City | RALEIGH |
State | NC |
Zip Code | 27614-8599 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437769080 | Jerrell Parker | Physical Therapy Assistant | 11200 Governor Manly Way, Raleigh, NC 27614-8599 | 2020-08-07 |
1255997086 | Kendra Rae Potter | Physician Assistant | 11200 Governor Manly Way, Raleigh, NC 27614-8599 | 2019-05-16 |
1942719752 | Lisa Susanna Izzi | Specialist/Technologist | 11200 Governor Manly Way, Raleigh, NC 27614-8599 | 2017-09-25 |
1053843664 | Brooke Graves | Physician Assistant | 11200 Governor Manly Way, Raleigh, NC 27614-8599 | 2017-04-02 |
1356881528 | John Michael Ablan | Prevention Professional | 11200 Governor Manly Way, Raleigh, NC 27614-8599 | 2017-03-07 |
1174074769 | Kelsey Leigh Mancini | Specialist/Technologist | 11200 Governor Manly Way, Suite 309, Raleigh, NC 27614-8599 | 2016-10-18 |
1124579008 | Taylor Beavers | Specialist/Technologist | 11200 Governor Manly Way, Raleigh, NC 27614-8599 | 2016-10-17 |
1215483540 | Nicole Emilia Renfroe | Student in an Organized Health Care Education/Training Program | 11200 Governor Manly Way, Raleigh, NC 27614-8599 | 2016-08-28 |
1649725177 | Chelsea Christine Sorensen | Specialist/Technologist | 11200 Governor Manly Way, Raleigh, NC 27614-8599 | 2016-08-25 |
1942652839 | Chris Cardella | Specialist/Technologist | 11200 Governor Manly Way, Raleigh, NC 27614-8599 | 2016-07-05 |
Find all providers in the same location |
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 | 213E00000X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982992517 | Jordan David Meyers | Podiatrist | 1418 E. Millbrook Rd, Raleigh, NC 27609-4812 | 2011-07-17 |
1598854895 | James Leroy Edwards | Podiatrist | 515 St Marys Street, Raleigh, NC 27605-1774 | 2006-10-12 |
1336238336 | Bruce G Fawcett | Podiatrist | 1514 Glenwood Ave, Raleigh, NC 27608-2368 | 2006-10-11 |
1487769857 | Family Foot & Ankle Center, P.a. | Podiatrist | 1004 Dresser Ct Ste 102, Raleigh, NC 27609-7325 | 2006-08-19 |
1225095318 | Kathleen Fineco | Podiatrist | 5928 N Hills Dr, Raleigh, NC 27609-4236 | 2006-05-01 |
1386616415 | Patrick Dougherty | Podiatrist | 1004 Dresser Ct, Raleigh, NC 27609-7325 | 2006-02-02 |
1386627479 | James Michael Hopkins | Podiatrist | 8305 Falls of Neuse Rd, Ste 100, Raleigh, NC 27615 | 2005-11-22 |
1588667265 | Carroll D Kratzer | Podiatrist | 3001 Edwards Mill Rd Ste 200, Raleigh, NC 27612-5243 | 2005-05-24 |
1992337794 | Seniorwell Pod of North Carolina LLC | Podiatrist | 8601 Six Forks Rd Ste 400, Raleigh, NC 27615-2965 | 2020-02-10 |
1407363625 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 2605 Blue Ridge Rd Ste 320, Raleigh, NC 27607-6475 | 2018-01-09 |
Find all providers in RALEIGH |
Please comment or provide details below to improve the information on DR. EDGAR XAVIER CORREA.
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.