SALLIE R PERMAR (NPI# 1356531487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356531487 |
| Entity Type | Individual |
| Full Name | SALLIE R PERMAR |
| Credential | M.D., PH.D. |
| Practice Address |
2100 Erwin Rd Durham NC 27705-3941 |
| Mailing Address |
5213 S Alston Ave Durham NC 27713-4430 |
| Practice Telephone | 9196848111 |
| Mailing Telephone | 9196204700 |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2011-06-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0208X |
Pediatrics Specialization: Pediatric Infectious Diseases |
2011-00697 | NC | Allopathic & Osteopathic Physicians |
| N | 2080P0208X |
Pediatrics Specialization: Pediatric Infectious Diseases |
231299 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
2100 ERWIN RD |
| City | DURHAM |
| State | NC |
| Zip Code | 27705-3941 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215930417 | Raymond C Barfield | Pediatrics | 2100 Erwin Rd, Durham, NC 27710-0001 | 2005-05-23 |
| 1477058584 | Natalie Louise Tammen | Physician Assistant | 2100 Erwin Rd, Durham, NC 27705-3941 | 2018-03-29 |
| 1205350691 | Deema Elchoufi | Student in an Organized Health Care Education/Training Program | 2100 Erwin Rd, Durham, NC 27705-3941 | 2017-07-28 |
| 1164965372 | Duke Family Medicine | Preferred Provider Organization | 2100 Erwin Rd, Durham, NC 27705-3941 | 2016-11-21 |
| 1306391560 | Jesslyn Patrice Doody | Physician Assistant | 2100 Erwin Rd, Durham, NC 27705-3941 | 2016-08-17 |
| 1134579147 | Tyler Henderson Knowles | Nurse Anesthetist, Certified Registered | 2100 Erwin Rd, Durham, NC 27705-3941 | 2016-06-21 |
| 1962852665 | David Tallon | Nurse Practitioner | 2100 Erwin Rd, Durham, NC 27705-3941 | 2016-06-14 |
| 1780079608 | Jeanna J Bateson | Physician Assistant | 2100 Erwin Rd, Durham, NC 27705 | 2015-03-30 |
| 1184034431 | Walter F Wiggins | Radiology | 2100 Erwin Rd, Durham, NC 27705-3941 | 2014-05-07 |
| 1629499108 | Joshua Harris | Social Worker | 2100 Erwin Rd, Durham, NC 27705-3941 | 2013-12-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371755 | Tyler Beach, Lcsw, Pllc | Social Worker | 2740 Spencer Street, Durham, NC 27705 | 2019-11-20 |
| 1720635477 | Brittany W Fry | Registered Nurse | 2301 Erwin Road, Hafs Building, Room 6670, Durham, NC 27705 | 2019-08-19 |
| 1760968044 | Nicole D Moore | Social Worker | 1921 N. Pointe Dr, Suite 280, Durham, NC 27705 | 2018-07-19 |
| 1144757097 | Emileigh S Dowling | Physical Therapist | 3475 Erwin Rd Bldg 2, Durham, NC 27705 | 2017-05-22 |
| 1487195350 | Daniel Lynch | Physical Therapist | 3475 Erwin Road, Pepsico Building, Durham, NC 27705 | 2017-03-13 |
| 1780131839 | Michael A Fitzpatrick Iv | Physical Therapist | 3475 Erwin Rd Bldg 2nd, Durham, NC 27705 | 2016-09-07 |
| 1609241736 | Julia Power Constant | Physician Assistant | Dumc Box 3913, Durham, NC 27705 | 2015-12-01 |
| 1518344159 | Amanda Clark Coniglio | Internal Medicine | 2301 Erwin Rd # 3845, Durham, NC 27705 | 2015-05-04 |
| 1720486988 | Jennifer Dawn Pace | Physician Assistant | 1821 Hillandale Road Suite 24a, Duke Urgent Care, Durham, NC 27705 | 2014-12-19 |
| 1942612106 | Rachel Hibberd | Psychologist | 508 Fulton Avenue, Durham Va Medical Center, Durham, NC 27705 | 2014-05-22 |
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| Taxonomy Code | 2080P0208X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Infectious Diseases |
| A pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659790954 | Bradford Becken IIi | Pediatrics | 2301 Erwin Rd, Durham, NC 27710-4699 | 2014-04-15 |
| 1285891929 | David Andrew Wilfret | Pediatrics | Duke University Medical Ctr, Pediatric Bone Marrow Transplant, Durham, NC 27710-0001 | 2008-05-20 |
| 1528233665 | Michael Cohen-wolkowiez | Pediatrics | 2100 Erwin Rd, Durham, NC 27705-3941 | 2008-04-29 |
| 1962565747 | Ross Mckinney | Pediatrics | 2100 Erwin Rd, Durham, NC 27710-0001 | 2006-12-19 |
| 1437180783 | Michael Anthony Moody | Pediatrics | 4101 N Roxboro St, Durham, NC 27704-2121 | 2006-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164867842 | Peyton Jessie Thompson | Pediatrics | Pediatirc Education Office Clb # 7593, Department of Pediatrics, Chapel Hill, NC 27599-0001 | 2013-05-08 |
| 1700887791 | William A Dalzell | Pediatrics | 2 Doctors Park, Ecu Physicians Pediatric Specialty Care Clinic, Greenville, NC 27834-2801 | 2005-08-02 |
| 1285045963 | Keerti Dantuluri | Pediatrics | 1001 Blythe Blvd, Medical Center Plaza Suite 200, Charlotte, NC 28203-5866 | 2014-05-15 |
| 1942410394 | Lee Morris | Pediatrics | 1001 Blythe Blvd, Medical Center Plaza Suite 200, Charlotte, NC 28203-5866 | 2007-05-23 |
| 1710102918 | Kacy Alyne Ramirez | Pediatrics | Medical Center Blvd, Department of Pediatrics, Winston Salem, NC 27157-0001 | 2007-04-16 |
| 1902987829 | David Weber | Pediatrics | 101 Manning Dr, Chapel Hill, NC 27599-0001 | 2006-10-18 |
| 1942381843 | Leonard Stein | Pediatrics | 101 Manning Dr, Chapel Hill, NC 27599-0001 | 2006-10-18 |
| 1508956236 | Frederick Henderson | Pediatrics | 101 Manning Dr, Chapel Hill, NC 27599-0001 | 2006-10-13 |
| 1396833422 | Albert Collier | Pediatrics | 101 Manning Dr, Chapel Hill, NC 27599-0001 | 2006-10-11 |
| 1407940596 | Niraj Patel | Pediatrics | 1350 S Kings Dr, Charlotte, NC 28207-2134 | 2006-10-03 |
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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.