PEAK FAMILY MEDICINE, PA (NPI# 1285734319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285734319 |
| Entity Type | Organization |
| Organization Name | PEAK FAMILY MEDICINE, PA |
| Practice Address |
1011 Pemberton Hill Rd Suite 101 Apex NC 27502-4266 |
| Practice Telephone | 9193679355 |
| Practice Fax Number | 9193679276 |
| Mailing Telephone | 9193679355 |
| Mailing Fax Number | 9193679276 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. SAMUEL DWIGHT BLACKWELL (OWNER/PROVIDER) |
| Authorized Official Telephone | 9193679355 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207Q00000X | Family Medicine | 32989 | NC | Allopathic & Osteopathic Physicians |
| X | 363A00000X | Physician Assistant | 103581 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| X | 363L00000X | Nurse Practitioner | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1011 PEMBERTON HILL RD SUITE 101 |
| City | APEX |
| State | NC |
| Zip Code | 27502-4266 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427488295 | Jaclyn Fortier | Counselor | 1011 Pemberton Hill Rd, Suite 202, Apex, NC 27502 | 2013-11-15 |
| 1124455704 | Laura Nastassja Sullivan | Physician Assistant | 1011 Pemberton Hill Rd, Ste 101, Apex, NC 27502-4266 | 2013-09-27 |
| 1205189602 | Duke University Affliated Physicians, Inc | Family Medicine | 1011 Pemberton Hill Rd, Ste 101, Apex, NC 27502-4266 | 2012-10-23 |
| 1962787457 | Mary Beth Bailar-heath | Clinical Neuropsychologist | 1011 Pemberton Hill Rd, Suite 202, Apex, NC 27502-0108 | 2011-10-15 |
| 1942410725 | Peak Nurition and Weight Loss Clinic Pa | Dietitian, Registered | 1011 Pemberton Hill Rd, Suite 101, Apex, NC 27502-4266 | 2007-05-23 |
| 1275684961 | Kathleen Elizabeth Lukasik | Physician Assistant | 1011 Pemberton Hill Rd, Suite 101, Apex, NC 27502-4266 | 2007-01-16 |
| 1770677635 | Samuel Dwight Blackwell | Family Medicine | 1011 Pemberton Hill Rd, Suite 101, Apex, NC 27502-4266 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194283507 | Reframe Counseling Services, Pllc | Psychologist | 1140 Savannah Ridge Road, Suites 204-206, Holly Springs, NC 27502 | 2019-03-05 |
| 1487119194 | Abdelbaky, Arbon & Boes, Pllc | Dentist | 1460 Kelly Road, Suite 201, Apex, NC 27502 | 2019-02-06 |
| 1437622792 | Abdelbaky, Arbon, & Boes, Pllc | Dentist | 1460 Kelly Rd, Apex, NC 27502 | 2019-01-09 |
| 1245733815 | Sarah S. Barker, Dds, Pllc | Clinic/Center | 1481 Chapel Ridge Road, Suite 250, Apex, NC 27502 | 2018-03-09 |
| 1497257646 | Sogoal Feizi | Chiropractor | 320 N Salem St Ste 102, Apex, NC 27502 | 2018-03-04 |
| 1417492554 | Nc Eye Associates Od Pllc | Optometrist | 1429 Kelly Road, Apex, NC 27502 | 2016-12-28 |
| 1154872646 | Renaissance Dentistry | Dentist | 800 W Williams Street, Suite 240, Apex, NC 27502 | 2016-10-19 |
| 1871049130 | Kathryn Siddle | Pharmacist | Route 940 Us 64, Apex, NC 27502 | 2016-08-28 |
| 1538526744 | Zhen Li | Acupuncturist | 1011 W. Williams St., Suite 104, Apex, NC 27502 | 2016-01-19 |
| 1174909980 | Karen Kleber Williams | Speech-Language Pathologist | 5448 Apex Peakway # 261, Apex, NC 27502 | 2015-08-04 |
| Find all providers in zip 27502 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902236904 | Laura Nighorn | Family Medicine | 320 Chanticlair Dr, Apex, NC 27502-9623 | 2013-11-13 |
| 1962747162 | Urgent Cares of America North Carolina Inc. | Family Medicine | 2021 Creekside Landing Dr, Apex, NC 27502-3982 | 2012-11-29 |
| 1952592545 | Jeehun Michael Kim | Family Medicine | 1429 Wragby Ln, Apex, NC 27502-6605 | 2007-08-07 |
| 1467578252 | Dollinger and Tove Family Medicine Assoc Pa | Family Medicine | 2021 Shepherds Vineyard Drive, Suite 101, Apex, NC 27502 | 2007-03-22 |
| 1992820591 | Nancy Louise Tove | Family Medicine | 2021 Shepherds Vineyard Dr, Suite 101, Apex, NC 27502-6440 | 2007-03-20 |
| 1285665455 | Apex Medical Center PC | Family Medicine | 410 E Williams St, Apex, NC 27502-2149 | 2006-07-06 |
| 1255368023 | Tammi M Waters | Family Medicine | 1600 Olive Chapel Rd Ste 124, Apex, NC 27502-6766 | 2006-06-27 |
| 1134167794 | Nandini Lahiri | Family Medicine | 1001 W Williams St, Ste 103, Apex, NC 27502-3978 | 2006-06-03 |
| 1902871981 | Craig A. Stevens | Family Medicine | 1801 Olive Chapel Rd Ste 107, Apex, NC 27502-8587 | 2006-02-22 |
| 1811975287 | Krystol Johnston O'rourke | Family Medicine | 210 Shad Ln, Apex, NC 27523-5749 | 2006-01-05 |
| Find all providers in APEX | ||||
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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.