JEROME J MAGOLAN JR. (NPI# 1255471181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255471181 |
| Entity Type | Individual |
| Full Name | JEROME J MAGOLAN JR. |
| Credential | M.D. |
| Practice Address |
3320 Executive Dr Ste 111 Raleigh NC 27609-7445 |
| Practice Telephone | 9198762427 |
| Practice Fax Number | 9198509234 |
| Mailing Telephone | 9198762427 |
| Mailing Fax Number | 9198509234 |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2015-06-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 29002 | NC | Other Service Providers |
| Y | 207W00000X | Ophthalmology | 29002 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 795372 | 05 |
| Street Address |
3320 EXECUTIVE DR STE 111 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27609-7445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265438816 | Lori Walker Couch | Optometrist | 3320 Executive Dr, Suite 111, Raleigh, NC 27609-7445 | 2005-06-27 |
| 1699149906 | Mallory Lake | Physician Assistant | 3320 Executive Dr, Suite 214, Raleigh, NC 27609-7445 | 2015-11-24 |
| 1689912792 | Metro Internal Medicine P.a. | Clinic/Center | 3320 Executive Dr, Ste. 222, Raleigh, NC 27609-7445 | 2013-01-24 |
| 1922390913 | Orthopaedic Specialists of North Carolina, P.a. | Orthopaedic Surgery | 3320 Executive Dr, Suite 218, Raleigh, NC 27609-7445 | 2011-05-09 |
| 1396047536 | Tanya Ann Mariie Meikle | Physical Therapist | 3320 Executive Dr, Suite 210, Raleigh, NC 27609-7445 | 2010-11-19 |
| 1609005461 | Anita Prakash Vin-parikh | Ophthalmology | 3320 Executive Dr, Raleigh, NC 27609-7445 | 2009-07-14 |
| 1891929618 | James Anthony Wrzosek | Internal Medicine | 3320 Executive Dr, Suite 111, Raleigh, NC 27609-7445 | 2009-05-07 |
| 1093831570 | Pamela J. Whitney, M.d, P.a. | Specialist | 3320 Executive Dr, Suite 218, Raleigh, NC 27609-7445 | 2007-03-22 |
| 1881724334 | Assad Meymandi | Specialist | 3320 Executive Dr, Suite 218, Raleigh, NC 27609-7445 | 2007-03-06 |
| 1336276427 | Alice Angela Lin | Ophthalmology | 3320 Executive Dr, Suite 111, Raleigh, NC 27609-7445 | 2007-02-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184235582 | Choice Service Solutions LLC | In Home Supportive Care | 5300 Six Fox Rd Siite205, Raleigh, NC 27609 | 2020-08-11 |
| 1003426073 | Rosana Oba -rovira | Registered Nurse | 5300 Six Fox Road, Suite 205, Raleigh, NC 27609 | 2020-08-05 |
| 1821612706 | Helen Alexandra Bonner | Physical Medicine & Rehabilitation | Hey Clinic Pa, 3320 Wake Forest Road Ste 450, Raleigh, NC 27609 | 2020-06-05 |
| 1215423579 | Appiah Nana Larbi | Social Worker | Easter Seals Ucp 4000 Wake Forest Rd Ste 200, Raleigh, NC 27609 | 2018-07-10 |
| 1215423777 | Broadway Home Care LLC | In Home Supportive Care | 107 Windel Dr Ste 105, Raleigh, NC 27609 | 2018-07-09 |
| 1275027948 | Lacey Allene Cottingham | Social Worker | 312 W Millbrook Rd Ste 129, Raleigh, NC 27609 | 2018-06-18 |
| 1447748819 | Integrated Dermatology of North Raleigh, Pllc | Dermatology | 3809 Computer Dr Ste 200, Raleigh, NC 27609 | 2018-05-01 |
| 1902325418 | Naomi Christine Askew | Nurse Practitioner | 3400 Wake Forest Drive, Bldg 9, Bldg #9, 4th Floor, Raleigh, NC 27609 | 2017-09-15 |
| 1962929679 | Alexia Montague | Social Worker | 1306 Paddock Drive Suite E-100, Raleigh, NC 27609 | 2017-08-23 |
| 1730602236 | Chantel Washington-mbuthia | Counselor | 1100 Logger Ct. Ste C100, Heartfelt Alternative Inc, Raleigh, NC 27609 | 2017-07-18 |
| Find all providers in zip 27609 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104235001 | Capital Eye Center | Ophthalmology | 720 West Jones St, Raleigh, NC 27612 | 2014-08-05 |
| 1568882389 | James Constans | Ophthalmology | 2709 Blue Ridge Rd Ste 100, Raleigh, NC 27607-6462 | 2014-04-19 |
| 1215236419 | Pradeep Mettu | Ophthalmology | 4201 Lake Boone Trl Ste 103, Raleigh, NC 27607 | 2011-03-28 |
| 1427360783 | Lindsay Elise Adam | Ophthalmology | 2709 Blue Ridge Road, Suite 100, Raleigh, NC 27607-6462 | 2010-07-02 |
| 1487985248 | New Century Ophthalmology Group, Pllc | Ophthalmology | 5720 Creedmoor Rd Ste 101, Raleigh, NC 27612-2382 | 2010-01-19 |
| 1457499089 | Franklin Li | Ophthalmology | 2406 Blue Ridge Rd Ste 280, Raleigh, NC 27607-6680 | 2007-02-03 |
| 1770632564 | Koury Eye Clinic, LLC | Ophthalmology | 8305 Wycombe Ln, Raleigh, NC 27615-3036 | 2007-01-09 |
| 1225195142 | North Raleigh Ophthalmology, P.a. | Ophthalmology | 1422 East Millbrook Road, Raleigh, NC 27609-5179 | 2007-01-02 |
| 1568536563 | Mccormick Ophthalmology Pa | Ophthalmology | 8015 Creedmoor Rd, Suite 201, Raleigh, NC 27613-4397 | 2006-11-20 |
| 1972698439 | Albert Rogers Munn IIi | Ophthalmology | Capital Eye Center, 720 W Jones St, Raleigh, NC 27603-1427 | 2006-10-03 |
| Find all providers in RALEIGH | ||||
Please comment or provide details below to improve the information on JEROME J MAGOLAN JR..
| 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.