DR. EDGAR XAVIER CORREA


Address: 11200 Governor Manly Way, Suite 309, Raleigh, NC 27614-8599
Phone: 9195629410

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213E00000X Podiatrist 405 NC Podiatric Medicine & Surgery Service Providers

Other Provider Identifier

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

Provider Secondary Practice Location

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

Other Providers EDGAR CORREA

NPI Name Taxonomy Address Enumeration
1174791818 Edgar Correa Counselor 20 Community Ln, Liberty, NY 12754-2851 2008-02-15

Office Location

Street Address 11200 GOVERNOR MANLY WAY
SUITE 309
City RALEIGH
State NC
Zip Code 27614-8599

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 213E00000X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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Competitor

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City RALEIGH
Zip Code 27614

Improve Information

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Dataset Information

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.

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