RALEIGH DURHAM MEDICAL GROUP PA (NPI# 1356387245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356387245 |
| Entity Type | Organization |
| Organization Name | RALEIGH DURHAM MEDICAL GROUP PA |
| Other Organization Name | TRINITY WOMEN'S HEALTH |
| Practice Address |
7019 Harps Mill Rd Raleigh NC 27615-3248 |
| Mailing Address |
5400 Trinity Rd Ste 105 Raleigh NC 27607-6001 |
| Practice Telephone | 9198442226 |
| Practice Fax Number | 9198442219 |
| Mailing Telephone | 9198512174 |
| Mailing Fax Number | 9198547774 |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DAVID K MOYE (SENIOR VICE PRESIDENT) |
| Authorized Official Telephone | 9198512174 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS | 018E4 | 01 |
| NC | 5900258 | 05 |
| Other Name | Type Code |
|---|---|
| Trinity Women's Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891704789 | Raleigh Durham Medical Group Pa | Family Medicine | 101 East Corbin St, Hillsborough, NC 27278 | 2006-08-07 |
| 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 |
| 1912243189 | Raleigh Durham Medical Group Pa | Non-Pharmacy Dispensing Site | 107 Weeks Dr, Roxboro, NC 27573-3933 | 2012-12-17 |
| Street Address |
7019 HARPS MILL RD |
| City | RALEIGH |
| State | NC |
| Zip Code | 27615-3248 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134603202 | David Joseph Woolever | Hearing Instrument Specialist | 7019 Harps Mill Rd, Raleigh, NC 27615-3248 | 2018-09-24 |
| 1215482989 | Holly Jordan | Hearing Instrument Specialist | 7019 Harps Mill Rd, Raleigh, NC 27615-3248 | 2016-08-23 |
| 1245785443 | Rocky Quiller | Hearing Instrument Specialist | 7019 Harps Mill Rd, Raleigh, NC 27615-3248 | 2016-08-18 |
| 1558736488 | Lauren Neshat | Hearing Instrument Specialist | 7019 Harps Mill Rd, Raleigh, NC 27615-3248 | 2015-12-03 |
| 1215305388 | Zachary Schwab | Hearing Instrument Specialist | 7019 Harps Mill Rd, Raleigh, NC 27615-3248 | 2015-09-08 |
| 1184022477 | Lighthouse Counseling Solutions | Marriage & Family Therapist | 7019 Harps Mill Rd, Sutie 200, Raleigh, NC 27615-3248 | 2014-12-18 |
| 1841600749 | Med One Medical Group | Non-Pharmacy Dispensing Site | 7019 Harps Mill Rd, Suite 200, Raleigh, NC 27615-3248 | 2014-04-30 |
| 1083810915 | Walser Incorporated | Durable Medical Equipment & Medical Supplies | 7019 Harps Mill Rd, Raleigh, NC 27615-3248 | 2007-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588278535 | Emily Grace Johnson | Behavior Technician | 119 Wind Chime Court, Suite 4, Raleigh, NC 27615 | 2020-09-06 |
| 1730706110 | Maja V Martin, Dds, Pa1 | Clinic/Center | 7371 Six Forks Road, Raleigh, NC 27615 | 2020-07-01 |
| 1972146967 | Atlantic Avenue Pharmaceutical, Inc | Pharmacy | 5621 Atlantic Ave, Suite 103, Raleigh, NC 27615 | 2019-10-22 |
| 1023503950 | Siyara Shannay Dobbs | Social Worker | 7013 Woodbend Dr Apt H, Raleigh, NC 27615 | 2018-06-23 |
| 1194210153 | Brittanie Ja'nell Harris | Dentist | 1911 Falls Valley Dr Ste 107, Raleigh, NC 27615 | 2018-06-22 |
| 1710489448 | Sherise Swensen | Social Worker | 8368 Six Forks Road, Suite 101, Raleigh, NC 27615 | 2018-03-08 |
| 1881100345 | Casey Paul Baine | Counselor | 6330 Falls of Neuse Rd Ste 104, Raleigh, NC 27615 | 2017-12-20 |
| 1588177885 | Michael Lacidonia | Acupuncturist | 6400 Falls of Neuse Rd Ste 200, Raleigh, NC 27615 | 2017-11-08 |
| 1457877631 | Matt Henderson | Behavioral Analyst | 8374 Six Forks Road, Suite 101, Raleigh, NC 27615 | 2017-08-18 |
| 1760907646 | Shakeda Muldrow | Social Worker | 7323 Brookbank Lane, Raleigh, NC 27615 | 2017-08-11 |
| Find all providers in zip 27615 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396212080 | Fatima Sayyeda Ahmed | Obstetrics & Gynecology | 4904 Majestic Prince Ct, Raleigh, NC 27606-4269 | 2018-10-31 |
| 1457752511 | Carolina Gynecology Pa | Obstetrics & Gynecology | 700 Exposition Place, Suite 161, Raleigh, NC 27615-1563 | 2014-09-09 |
| 1134567787 | Brian Conrad Brimmage | Obstetrics & Gynecology | 4414 Lake Boone Trl Ste 405, Raleigh, NC 27607 | 2013-06-05 |
| 1629414164 | Aileen Jenna Beckham | Obstetrics & Gynecology | 3024 New Bern Ave Ste 309, Raleigh, NC 27610-1247 | 2013-05-10 |
| 1437436854 | Bassam Husam Rimawi | Obstetrics & Gynecology | 23 Sunnybrook Rd Ste 316, Raleigh, NC 27610-1874 | 2011-11-14 |
| 1891021853 | Private Diagnostic Clinic, Pllc | Obstetrics & Gynecology | 2406 Blue Ridge Road, Suite 200, Raleigh, NC 27607-6680 | 2009-10-27 |
| 1013159094 | Mary Carolyn Peavey | Obstetrics & Gynecology | 7920 Acc Blvd Ste 300, Raleigh, NC 27617-8744 | 2009-04-06 |
| 1821258518 | Kenneth Joseph Fortier | Obstetrics & Gynecology | 3701 Holly Ln, Unit 203, Raleigh, NC 27612-8051 | 2008-06-16 |
| 1093973075 | Patricia Ann Convery | Obstetrics & Gynecology | 4414 Lake Boone Trl Ste 205, Raleigh, NC 27607 | 2008-05-27 |
| 1063603124 | David Masao Kawasaki | Obstetrics & Gynecology | 9124 Palm Bay Cir, Raleigh, NC 27617-7776 | 2007-08-05 |
| 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.