DR. ROBERT THOMAS DODGE (NPI# 1295721710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295721710 |
| Entity Type | Individual |
| Full Name | DR. ROBERT THOMAS DODGE |
| Credential | PHD, RN, ANP |
| Practice Address |
10 Sunnybrook Rd Clinic A Raleigh NC 27610-1808 |
| Practice Telephone | 9192503078 |
| Practice Fax Number | 9192504429 |
| Mailing Telephone | 9192503078 |
| Mailing Fax Number | 9192504429 |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2010-06-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
900106 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7000428 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568502474 | Robert Dodge | Psychologist | 120 Tillson Ave Ste 201, Rockland, ME 04841-3400 | 2007-02-08 |
| 1164424370 | Robert Dodge | Optometrist | 12737 Riverdale Blvd Nw, Coon Rapids, MN 55448-1253 | 2005-06-01 |
| 1508910589 | Robert F Dodge | Family Medicine | 168 N Brent St, Ste 502, Ventura, CA 93003-2817 | 2007-01-23 |
| 1588645642 | Robert E Dodge | Pharmacist | 200 Madison St, Port Clinton, OH 43452-1143 | 2005-11-07 |
| Street Address |
10 SUNNYBROOK RD CLINIC A |
| City | RALEIGH |
| State | NC |
| Zip Code | 27610-1808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982252086 | Mary Carr Allen | Physician Assistant | 10 Sunnybrook Rd, Raleigh, NC 27610-1808 | 2019-09-01 |
| 1689222044 | Allyson Lockwood Ishihara | Social Worker | 10 Sunnybrook Rd, Raleigh, NC 27610-1808 | 2019-08-29 |
| 1053975284 | Renee Buchser | Registered Nurse | 10 Sunnybrook Rd, Raleigh, NC 27610-1861 | 2019-04-23 |
| 1235609090 | Elizabeth Deanne Moore | Nurse Practitioner | 10 Sunnybrook Rd, Raleigh, NC 27610-1808 | 2018-12-04 |
| 1053804542 | Brittany Charlene Stofford | Dentist | 10 Sunnybrook Rd, Raleigh, NC 27610-1808 | 2018-06-11 |
| 1528410735 | Susan Wilson | Nurse Practitioner | 10 Sunnybrook Rd, Raleigh, NC 27610-1808 | 2016-07-12 |
| 1316394406 | Tabitha Alford | Nurse Practitioner | 10 Sunnybrook Rd, Raleigh, NC 27610-1808 | 2016-05-18 |
| 1982096228 | Sandra Painter | Social Worker | 10 Sunnybrook Rd, Raleigh, NC 27610-1808 | 2015-02-24 |
| 1467840702 | Meghan Malka | Dietitian, Registered | 10 Sunnybrook Rd, Raleigh, NC 27610-1808 | 2015-01-08 |
| 1114315454 | Mary Elizabeth Collins | Dietitian, Registered | 10 Sunnybrook Rd, #316-c, Raleigh, NC 27610-1808 | 2015-01-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609499243 | Elizabeth Ranganai Mavindidze | Social Worker | Wakemed Health and Hospitals, 3000 New Bern Avenue, Raleigh, NC 27610 | 2020-05-18 |
| 1851958839 | Alex & Associates, P.C. | Dentist | 1600 Cross Link Road, Unit 103, Raleigh, NC 27610 | 2019-05-24 |
| 1639646367 | Carol Mary Medins | Dietitian, Registered | Wakemed Raleigh Medical Park, 23 Sunnybrook Road, Suite 200, Raleigh, NC 27610 | 2018-10-31 |
| 1144714601 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 123 Sunnybrook Rd Ste 150, Raleigh, NC 27610 | 2018-06-19 |
| 1417446006 | Eagles Eye Lab, Inc | Clinical Medical Laboratory | 4501 New Bern Ave, Ste: 130, Raleigh, NC 27610 | 2018-05-09 |
| 1316465206 | Jeffery King Neer | Social Worker | 3010 Falstaff Rd., C/o Unc Actt, Raleigh, NC 27610 | 2017-08-31 |
| 1083139885 | Kelsey Daniel Mccleave | Social Worker | 3630 Enduring Freedom Drive, Raleigh, NC 27610 | 2017-08-14 |
| 1891219093 | Tarheel Residential Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4840 Quarryman Road, Raleigh, NC 27610 | 2017-07-29 |
| 1508214826 | Compassionate Care Providers LLC | Respite Care | 5110 Wetlands, Raleigh, NC 27610 | 2016-05-26 |
| 1730552530 | Matthew Belair | Pharmacist | 1601-51 Cross Link Rd, Raleigh, NC 27610 | 2015-11-03 |
| Find all providers in zip 27610 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508480823 | Lauren Elizabeth Barkley | Nurse Practitioner | 10207 Cerny St Ste 200, Raleigh, NC 27617-4880 | 2020-06-02 |
| 1801428974 | Patricia Lynn Mcgrail | Nurse Practitioner | 2605 Blue Ridge Rd Ste 240, Raleigh, NC 27607-6475 | 2020-02-06 |
| 1467931360 | Dirk M Collevecchio | Nurse Practitioner | 10 Sunnybrook Rd # Clinicb, Raleigh, NC 27610-1808 | 2018-08-10 |
| 1023518339 | Henry Matthew Vanpala | Nurse Practitioner | 1631 Midtown Pl Ste 101, Raleigh, NC 27609-1300 | 2018-02-14 |
| 1740723063 | Kelli Odell Armwood | Nurse Practitioner | 4040 Barrett Dr, Raleigh, NC 27609-6640 | 2016-11-18 |
| 1053868356 | Yun-hua Chiang | Nurse Practitioner | 3404 Wake Forest Rd Fl 1, Raleigh, NC 27609-7340 | 2016-09-02 |
| 1407208788 | Jessica Allyn | Nurse Practitioner | 4822 Six Forks Rd Ste 104, Raleigh, NC 27609-5269 | 2016-07-11 |
| 1023444338 | Jessica Kious-fry | Nurse Practitioner | 11200 Governor Manly Way Ste 303a, Raleigh, NC 27614-7375 | 2013-09-18 |
| 1225313182 | Sandra Britt | Nurse Practitioner | 6008 Creedmoor Rd, Raleigh, NC 27612-2209 | 2011-10-11 |
| 1366760159 | Amy Pike | Nurse Practitioner | 7780 Brier Creek Pkwy Ste 230, Raleigh, NC 27617-7850 | 2010-05-04 |
| Find all providers in RALEIGH | ||||
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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.