RALEIGH DURHAM MEDICAL GROUP PA


Address: 3100 Duraleigh Rd, Ste 307, Raleigh, NC 27612-8106
Phone: 9192320050

RALEIGH DURHAM MEDICAL GROUP PA (NPI# 1316082357) 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) 1316082357
Entity Type Organization
Organization Name RALEIGH DURHAM MEDICAL GROUP PA
Other Organization Name CAROLINA CARDIOVASCULAR HEALTH & FITNESS
Practice Address 3100 Duraleigh Rd
Ste 307
Raleigh
NC 27612-8106
Mailing Address 5420 Wade Park Blvd
Ste 106
Raleigh
NC 27607-4188
Practice Telephone 9192320050
Practice Fax Number 9192320060
Mailing Telephone 9198512174
Mailing Fax Number 9198547774
Enumeration Date 2007-02-20
Last Update Date 2009-03-05
Authorized Official Name DAVID MOYE (SENIOR VP)
Authorized Official Telephone 9198512174
Is Organization Subpart Y
Parent Organization Name RALEIGH DURHAM MEDICAL GROUP PA

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NC BCBS 144TM 01
NC 891137F 05

Other Provider/Organization Names

Other Name Type Code
Carolina Cardiovascular Health & Fitness Doing Business As Name - Organization

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
1295784874 Raleigh Durham Medical Group Pa Obstetrics & Gynecology 5420 Wade Park Blvd, Suite 106, Raleigh, NC 27607-4189 2006-05-09
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

Office Location

Street Address 3100 DURALEIGH RD
STE 307
City RALEIGH
State NC
Zip Code 27612-8106

Providers in the same location

NPI Name Taxonomy Address Enumeration
1699774000 Calhoun D Cunningham IIi Otolaryngology 3100 Duraleigh Rd, Suite 300, Raleigh, NC 27612-8104 2005-07-18
1720450109 Angelique Marie Mapile Nurse Practitioner 3100 Duraleigh Rd, Suite 201, Raleigh, NC 27612-8106 2015-10-26
1871982298 The Gyn Center for Women, Pa Obstetrics & Gynecology 3100 Duraleigh Rd, Suite 307, Raleigh, NC 27612-8106 2015-01-22
1083012926 Gretchen Ruth Correll Occupational Therapist 3100 Duraleigh Rd, Suite, Raleigh, NC 27612-8106 2014-12-09
1578983789 Emily Mims Pediatrics 3100 Duraleigh Rd, Suite 300, Raleigh, NC 27612-8106 2014-04-27
1871919357 Megan Heron Physician Assistant 3100 Duraleigh Rd, Suite 100, Raleigh, NC 27612-8106 2014-03-08
1518248004 Kellie Bunn Physician Assistant 3100 Duraleigh Rd, Suite 300, Raleigh, NC 27612-8106 2011-08-29
1790065647 Lindsay Brown Painter Nurse Practitioner 3100 Duraleigh Rd, Suite 100, Raleigh, NC 27612-8106 2011-08-24
1124311329 Lillian Rogers Harris Pediatrics 3100 Duraleigh Rd, Suite 300, Raleigh, NC 27612-8106 2011-05-20
1083913040 Meredith Boyette Audiologist 3100 Duraleigh Rd, Suite 300, Raleigh, NC 27612-8106 2011-03-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538714068 George J Henderon Orthotist 5313 Duraleigh Road, Ste 151, Raleigh, NC 27612 2019-08-01
1902399223 Iain Knox Nathaniel Irwin Marriage & Family Therapist 7701 Alborz Dr, Raleigh, NC 27612 2018-06-12
1225525884 Patterns Behavioral Services North Carolina, Inc Assistant Behavior Analyst 3738 National Dr, Ste 110, Raleigh, NC 27612 2018-04-19
1053820720 The Art Counseling L.L.C. Psychologist 4610 Twisted Oaks Drive Apt 1807, Raleigh, NC 27612 2017-09-26
1376052431 Amanda Steed Speech-Language Pathologist 5519 Hamstead Crossing, Raleigh, NC 27612 2017-09-21
1295250991 Neal H. Patel Dds Pllc Dentist 7211 Shellburne Dr, Raleigh, NC 27612 2017-08-03
1811426109 Marquita Randolph-breeden Behavior Technician 5816 Creedmoor Road, Suite 104, Raleigh, NC 27612 2017-06-08
1336518554 Travis Edward Williams Counselor 4801 Glenwood Ave., Suite 200, Raleigh, NC 27612 2015-09-17
1831587476 Harris Teeter LLC Pharmacy 2051 W Millbrook Road, Raleigh, NC 27612 2015-01-06
1780072975 Harris Teeter LLC Pharmacy 2051 W. Millbrook Road, Raleigh, NC 27612 2014-12-23
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Taxonomy Information

Taxonomy Code 207RC0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Cardiovascular Disease

Taxonomy Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841713187 Wake Specialty Physicians LLC Internal Medicine 3000 New Bern Ave Ste 1200, Raleigh, NC 27610-1231 2017-07-19
1407919285 Angelo Milazzo Internal Medicine 3713 Benson Dr Ste 202, Raleigh, NC 27609-7372 2006-12-19
1639253529 James Wilson Peterson Internal Medicine 3320 Wake Forest Rd., Suite 200, Raleigh, NC 27609 2006-10-25
1821010067 Walter Tan Internal Medicine 3000 New Bern Ave Ste 1100, Wpp - Structural Heart, Raleigh, NC 27610-1231 2006-07-24
1164485033 Glenndale Moore Internal Medicine 2949 New Bern Ave, Suite 112-a, Raleigh, NC 27610-1248 2006-04-10
1881680098 Joseph Anthony Guzzo Internal Medicine 4201 Lake Boone Trl, Suite 104, Raleigh, NC 27607-7512 2005-09-22
1972508661 George Rayburn Cheely Internal Medicine 3000 New Bern Ave, Ste 1200, Raleigh, NC 27610-1231 2005-06-17
1245235506 Sagir Ahmed Internal Medicine 3811 Ed Dr, Suite 130, Raleigh, NC 27612-2392 2005-06-14
1104480532 Wakemed Specialists Group, LLC Internal Medicine 3000 New Bern Ave, Raleigh, NC 27610-1231 2019-05-01
1720643174 Wakemed Specialists Group, LLC Internal Medicine 3000 New Bern Ave, Raleigh, NC 27610-1231 2019-05-01
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Competitor

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City RALEIGH
Zip Code 27612

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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