RAPHA HEALTH SYSTEM INC (NPI# 1275510695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275510695 |
| Entity Type | Organization |
| Organization Name | RAPHA HEALTH SYSTEM INC |
| Other Organization Name | RAPHA MEDICAL CLINIC PA |
| Practice Address |
1905 Skibo Rd Suite 100 Fayetteville NC 28314-1518 |
| Mailing Address |
1905 Skibo Rd Suite 100 Fayetteville NC 28314 |
| Practice Telephone | 9108644357 |
| Practice Fax Number | 9102210099 |
| Mailing Telephone | 9108644357 |
| Mailing Fax Number | 9102210099 |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2015-01-22 |
| Authorized Official Name | DR. DANIEL CHIDI UBA (OWNER, MD) |
| Authorized Official Telephone | 9108644357 |
| Authorized Official Credential | MD, INTERNAL MED |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 170100000X | Medical Genetics, Ph.D. Medical Genetics | 200100099 | NC | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 89129MG | 05 |
| Other Name | Type Code |
|---|---|
| RAPHA MEDICAL CLINIC PA | Doing Business As Name - Organization |
| Street Address |
1905 SKIBO RD SUITE 100 |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28314-1518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497114201 | Lauren Diehl | Physician Assistant | 1905 Skibo Rd, Fayetteville, NC 28314-0260 | 2016-02-22 |
| 1225301708 | Adewale Ogunwo | Nurse Practitioner | 1905 Skibo Rd, Fayetteville, NC 28314-0260 | 2012-02-15 |
| 1043478944 | Theresa Ann Johnson | Physician Assistant | 1905 Skibo Rd, Fayetteville, NC 28314-0260 | 2008-05-28 |
| 1497924021 | Adjust Experience Chiropractic, P. A. | Chiropractor | 1905 Skibo Rd, Suite 103, Fayetteville, NC 28314-1518 | 2008-02-28 |
| 1184732430 | Salvatore Cosmo Daniele | Chiropractor | 1905 Skibo Rd, Suite 103, Fayetteville, NC 28314-0260 | 2006-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528677812 | Lamonica Laveta Greene | Massage Therapist | 7804 Loxley Drive, Fayetteville, NC 28314 | 2020-07-23 |
| 1467086496 | The Pair Center for Couples Counseling Pllc | Counselor | 5085 Morganton Road, Suite 300, Fayetteville, NC 28314 | 2020-02-28 |
| 1346898335 | Chaitanya Joopally Dds Pllc | Dentist | 2050 Skibo Rd. Ste 104, Fayetteville, NC 28314 | 2019-09-03 |
| 1780231894 | Bio-medical Applications of North Carolina, Inc. | Clinic/Center | 2360 Williamwood Lane, Fayetteville, NC 28314 | 2019-08-22 |
| 1164075982 | A Touch of Grace Inc | Day Training/Habilitation Specialist | 2153 Heathcote Drive, Fayetteville, NC 28314 | 2019-07-21 |
| 1093284465 | Candice Gorremans | Physician Assistant | 108th Air Defense Artillery Brigade, Fort Bragg, NC 28314 | 2018-11-15 |
| 1861983439 | Jessica Lynne Smith | Counselor | 6885 Cliffdale Rd Ste 2002, Fayetteville, NC 28314 | 2018-05-19 |
| 1073003752 | Gooden Mobile Pod Nc Pllc | Podiatrist | 311 Mcfadyen Dr, Fayetteville, NC 28314 | 2018-05-17 |
| 1093222101 | Lauren Bonneau | Behavioral Analyst | 6985 Nexus Ct, Suite 107, Fayetteville, NC 28314 | 2018-01-10 |
| 1760900153 | Elali Alisha Marie Moukwa | Dentist | 1916 Skibo Rd Ste C3, Fayetteville, NC 28314 | 2017-09-06 |
| Find all providers in zip 28314 | ||||
| Taxonomy Code | 170100000X |
| Grouping | Other Service Providers |
| Classification | Medical Genetics, Ph.D. Medical Genetics |
| A medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program, and serves as a consultant to medical and dental specialists. |
| Notes: A general certificate was first issued by ABMS in 1982. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154431732 | North Fayette Family Practice | Medical Genetics, Ph.D. Medical Genetics | 290 Highway 314 Ste B, Fayetteville, GA 30214-7813 | 2006-08-30 |
| 1215044813 | Joe Mcknitt Alexander Jr. | Medical Genetics, Ph.D. Medical Genetics | 2911 Breezewood Ave Ste 201, Fayetteville, NC 28303 | 2006-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881799823 | Hiba Risheg | Medical Genetics, Ph.D. Medical Genetics | 201 Sage Rd Ste 300, Chapel Hill, NC 27514-6510 | 2006-09-14 |
| 1285740142 | Powells Medical Facility | Medical Genetics, Ph.D. Medical Genetics | 201 W Clinton St, Roseboro, NC 28382 | 2006-08-22 |
| 1013945732 | Siby Sebastian | Medical Genetics, Ph.D. Medical Genetics | 4425 Ben Franklin Blvd, Durham, NC 27704-2147 | 2006-06-29 |
| 1487622452 | Jack Tarleton | Medical Genetics, Ph.D. Medical Genetics | 267 Mcdowell St, Fullerton Genetics Laboratory, Asheville, NC 28803-2606 | 2006-03-08 |
| 1104890615 | Twanna Belinda Dixon-cherry | Medical Genetics, Ph.D. Medical Genetics | 118 W Martin Luther King Jr Dr, Washington, NC 27889-4906 | 2006-02-14 |
| 1578533360 | Megan M Harlan | Medical Genetics, Ph.D. Medical Genetics | 103 Mason Farm Road, Mbrb, Suite 4200, Campus Box 7264, Chapel Hill, NC 27599-0001 | 2006-01-24 |
| 1831194976 | Moon S Choi - Chung | Medical Genetics, Ph.D. Medical Genetics | 74 Eastgate Dr, Sylva, NC 28779-5171 | 2005-06-16 |
| 1811991342 | Myra Jane Hall | Medical Genetics, Ph.D. Medical Genetics | 210 Magnolia Square Court, Aberdeen, NC 28315-2226 | 2005-06-13 |
| 1467826073 | Mission Hospital Inc | Medical Genetics, Ph.D. Medical Genetics | 11 Vanderbilt Park Dr, Asheville, NC 28803-1700 | 2015-11-19 |
| 1851706543 | Wha P.k.a. Wilkerson Obgyn | Medical Genetics, Ph.D. Medical Genetics | 4414 Lake Boone Trl, Suite 210, Raleigh, NC 27607-7513 | 2014-06-22 |
| Find all providers with the same taxonomy | ||||
| City | FAYETTEVILLE |
| Zip Code | 28314 |
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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.