RALEIGH DURHAM MEDICAL GROUP PA


Address: 5420 Wade Park Blvd, Suite 106, Raleigh, NC 27607-4189
Phone: 9192335952

RALEIGH DURHAM MEDICAL GROUP PA (NPI# 1295784874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295784874
Entity Type Organization
Organization Name RALEIGH DURHAM MEDICAL GROUP PA
Practice Address 5420 Wade Park Blvd
Suite 106
Raleigh
NC 27607-4189
Mailing Address Po Box 650249
Dallas
TX 75265-0249
Practice Telephone 9192335952
Practice Fax Number 9198547774
Enumeration Date 2006-05-09
Last Update Date 2015-12-11
Authorized Official Name MR. DAVID K MOYE (EXECUTIVE DIRECTOR)
Authorized Official Telephone 9198512174
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207VG0400X Obstetrics & Gynecology
Specialization: Gynecology
Allopathic & Osteopathic Physicians
N 207R00000X Internal Medicine Allopathic & Osteopathic Physicians
N 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
Allopathic & Osteopathic Physicians
N 207RG0100X Internal Medicine
Specialization: Gastroenterology
Allopathic & Osteopathic Physicians
N 207X00000X Orthopaedic Surgery Allopathic & Osteopathic Physicians
N 207XP3100X Orthopaedic Surgery
Specialization: Pediatric Orthopaedic Surgery
Allopathic & Osteopathic Physicians
N 208000000X Pediatrics Allopathic & Osteopathic Physicians
N 208600000X Surgery Allopathic & Osteopathic Physicians
N 261QU0200X Clinic/Center
Specialization: Urgent Care
Ambulatory Health Care Facilities
Y 207Q00000X Family Medicine Allopathic & Osteopathic Physicians

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1891704789 Raleigh Durham Medical Group Pa Family Medicine 101 East Corbin St, Hillsborough, NC 27278 2006-08-07
1356387245 Raleigh Durham Medical Group Pa Obstetrics & Gynecology 7019 Harps Mill Rd, Raleigh, NC 27615-3248 2006-06-21
1306899125 Raleigh Durham Medical Group Pa Family Medicine 7124 Knightdale Blvd, Knightdale, NC 27545-9265 2006-05-19
1801848049 Raleigh Durham Medical Group Pa Family Medicine 4905 Green Rd, Ste 100, Raleigh, NC 27616-2805 2006-05-16
1003868258 Raleigh Durham Medical Group Pa Family Medicine 600 New Waverly Place, Ste 203, Cary, NC 27518 2006-05-16
1659322436 Raleigh Durham Medical Group Pa Family Medicine 2076 Highway 42 W, Suite 230, Clayton, NC 27520-5303 2006-05-15
1649221342 Raleigh Durham Medical Group Pa Internal Medicine 4003 N Roxboro St, Durham, NC 27704-2119 2006-05-15
1710331640 Raleigh Durham Medical Group Pa Non-Pharmacy Dispensing Site 8020 Creedmoor Rd, Raleigh, NC 27613-4363 2016-04-18
1164865416 Raleigh Durham Medical Group Pa Non-Pharmacy Dispensing Site 2076 Highway 42 West, Suite 230, Clayton, NC 27520 2013-04-16
1912243189 Raleigh Durham Medical Group Pa Non-Pharmacy Dispensing Site 107 Weeks Dr, Roxboro, NC 27573-3933 2012-12-17

Office Location

Street Address 5420 WADE PARK BLVD
SUITE 106
City RALEIGH
State NC
Zip Code 27607-4189

Providers in the same location

NPI Name Taxonomy Address Enumeration
1386195865 Rdmg Associates Pa Internal Medicine 5420 Wade Park Blvd, Ste 106, Raleigh, NC 27607-4188 2016-10-19

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972093144 Kyndra Lawson Behavior Technician 5121 Kingdom Way, Suite 100, Raleigh, NC 27607 2018-05-14
1578082905 Margaret Roberts Bova Dietitian, Registered 4207 Lake Boone Trail, Suite 210, Raleigh, NC 27607 2017-09-18
1184141897 Chricat Garrard Nurse Practitioner 4207 Lake Boone Trl Ste 200, Raleigh, NC 27607 2017-08-23
1487178620 John Patrick Morton Pharmacist 2411 Landmark Dr, Raleigh, NC 27607 2017-07-31
1023538857 Heather Margaret Mazzola Audiologist 7800 Lake Boone Trail, 100, Raleigh, NC 27607 2017-06-22
1790216984 North Carolina Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 2411 Landmark Drive, Raleigh, NC 27607 2017-03-21
1558819516 Corilin Nocito Meggitt Nurse Practitioner 4505 Fair Meadows Ln Ste 102, Raleigh, NC 27607 2016-09-19
1942757034 Stacie Walker Obstetrics & Gynecology 4414 Lake Boone Trl Ste 311, Raleigh, NC 27607 2016-09-06
1831644533 Alisa Smajlagic Howe Nurse Practitioner 4210 Lake Boone Trail, Rex Rehab & Nursing Center, Raleigh, NC 27607 2016-08-23
1235598632 Yoseph Saleh Dentist 107 Minden Ln, Raleigh, NC 27607 2016-02-15
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053938894 American Ecare Telehealth Pllc Family Medicine 5312 Pomfret Pt, Raleigh, NC 27612-3683 2020-06-27
1093339368 Nc Telehealth, Pllc Family Medicine 1030 N Rogers Ln Ste 121, Raleigh, NC 27610-6083 2020-06-02
1427680917 Peter Mcilwaine Family Medicine 2605 Blue Ridge Rd Ste 300, Raleigh, NC 27607-6475 2020-02-12
1104483387 Rebecca Jeffries Cloer Family Medicine 8331 Bandford Way Ste 101, Raleigh, NC 27615-2765 2019-05-23
1154888154 Wwc Medical Pllc Family Medicine 7800 Falls of Neuse Rd, #99511, Raleigh, NC 27615-9998 2019-02-26
1932683166 Good Health Urgent & Primary Care Pllc Family Medicine 3716 National Dr Ste 208, Raleigh, NC 27612-4863 2018-09-24
1124501085 Select Medical Services Pllc Family Medicine 10931 Raven Ridge Rd Ste 115, Raleigh, NC 27614-6499 2018-09-07
1215419379 Patrick Orion Finn Family Medicine 10010 Falls of The Neuse Rd, Suite 11, Raleigh, NC 27614 2018-09-05
1740768225 Iam Healthcare, Pllc Family Medicine 5509 Cumberland Plain Dr, Raleigh, NC 27616 2018-08-06
1265963938 David James Mcmullen Family Medicine 3320 Executive Dr Ste 214, Raleigh, NC 27609-7489 2017-03-24
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Competitor

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City RALEIGH
Zip Code 27607

Improve Information

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Dataset Information

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.

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