OLD WELL MEDICINE, PLLC (NPI# 1255898094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255898094 |
| Entity Type | Organization |
| Organization Name | OLD WELL MEDICINE, PLLC |
| Practice Address |
1505 Sw Cary Pkwy Ste 302 Cary NC 27511-6219 |
| Mailing Address |
101 Wyaston Ct Cary NC 27519-7620 |
| Practice Telephone | 9194956777 |
| Mailing Telephone | 9194956777 |
| Enumeration Date | 2019-02-28 |
| Last Update Date | 2019-02-28 |
| Authorized Official Name | DR. AMIT A PATEL (MANAGER) |
| Authorized Official Telephone | 9194956777 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Old Well Health | Doing Business As Name - Organization |
| Street Address |
1505 SW CARY PKWY STE 302 |
| City | CARY |
| State | NC |
| Zip Code | 27511-6219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730792615 | Jill Manning West | Pharmacy | 118 Mackenan Dr., Suite 200, Cary, NC 27511 | 2020-08-28 |
| 1275145658 | Next Level Counseling, Pllc | Community/Behavioral Health | Tele-therapy Only, Cary, NC 27511 | 2020-08-18 |
| 1801429568 | Cheryl Perozek Reid | Physical Therapist | Brightstar Cary, 102 Commonwealth Court Unit K, Cary, NC 27511 | 2020-02-20 |
| 1912543075 | Courtney Hansen | Specialist/Technologist | 103 Fountain Brook Circle, D2, Cary, NC 27511 | 2019-11-25 |
| 1619438512 | Karlianna E.s Williams | Behavior Technician | 111 Mackenan, Cary, NC 27511 | 2019-03-25 |
| 1992272058 | Best Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 590 E Chatham Street, Ste 108, Cary, NC 27511 | 2018-10-26 |
| 1275015620 | Edward Michael Sleigh | Marriage & Family Therapist | 110 Iowa Ln, Ste 204, Cary, NC 27511 | 2018-09-02 |
| 1477044048 | Leonard Deleon | Pharmacist | 1230 Se Maynard Rd # 202, Cary, NC 27511 | 2018-05-19 |
| 1932699030 | Valerie Hunter Whidbee | Specialist | 139 E Chatham Street, Suite 105, Cary, NC 27511 | 2018-05-14 |
| 1588153878 | Ashley Horak Gyori | Speech-Language Pathologist | 905 Balmoral Dr, Cary, NC 27511 | 2018-05-02 |
| Find all providers in zip 27511 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831437763 | Empire Garden Lymphedema Services & Products, LLC | Clinic/Center | 539 Keisler Dr, Suite 204, Cary, NC 27518-9320 | 2013-01-28 |
| 1992032403 | Rogers Gynecology & Women's Health, Pllc | Clinic/Center | 121 Edinburgh South Dr, Suite 100, Cary, NC 27511-6448 | 2009-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740893734 | Blue Telepsych Urgent Care | Clinic/Center | 8406 Fiddlestick Way, Wilmington, NC 28412-3394 | 2020-08-28 |
| 1437771193 | Asheville Dermatology Professionals, PC | Clinic/Center | 900 Hendersonville Rd Ste 107, Asheville, NC 28803-1763 | 2020-05-15 |
| 1689210197 | Neogenix, PC | Clinic/Center | 16147 Lancaster Hwy Ste 140, Charlotte, NC 28277-4782 | 2019-11-19 |
| 1396252680 | Envolve Optical Inc | Clinic/Center | 112 Zebulon Ct, Rocky Mount, NC 27804-2420 | 2018-01-08 |
| 1255877841 | Ray Mercado D.o.p.c | Clinic/Center | 1126 N Church St Ste 202, Greensboro, NC 27401-1035 | 2017-01-06 |
| 1548666878 | The Carolina Men's Clinic | Clinic/Center | 122 Gateway Blvd Ste D, Mooresville, NC 28117-5544 | 2014-11-13 |
| 1295146389 | Monadnock Mind and Body | Clinic/Center | 3169 Nc 8 Hwy S, Autumn Square Suite #201, Walnut Cove, NC 27052-5693 | 2014-05-12 |
| 1093125627 | American Respiratory Labs In Home LLC | Clinic/Center | 6075 Thristlebrook, Hickory, NC 28602-8264 | 2014-05-05 |
| 1457780553 | Carolina Center for Women | Clinic/Center | 421 N Wendover Rd, Charlotte, NC 28211-1064 | 2013-11-08 |
| 1427496173 | Carolinas Weight Management | Clinic/Center | 2608 E. 7th St., Charlotte, NC 28204 | 2013-06-04 |
| Find all providers with the same taxonomy | ||||
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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.