DR. KRISTINA RENEE ERICSSON (NPI# 1366640658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366640658 |
| Entity Type | Individual |
| Full Name | DR. KRISTINA RENEE ERICSSON |
| Credential | MD, MPH |
| Practice Address |
600 New Waverly Pl Ste 310 Cary NC 27518 |
| Mailing Address |
600 New Waverly Pl Ste 310 Cary NC 27518-7404 |
| Practice Telephone | 9196940025 |
| Practice Fax Number | 9196786901 |
| Mailing Telephone | 9196940025 |
| Mailing Fax Number | 9196786901 |
| Enumeration Date | 2007-07-07 |
| Last Update Date | 2018-05-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 2016-01844 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | MEDICARE PTAN | NCU719B | 01 |
| IL | 036127970 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 415 N 9th St, Ste 6w100, Springfield, IL 627025303 | 2175455117 | 2175454912 |
| 800 N Justice St, Hendersonville, NC 287913410 | 8286947687 | 8286947638 |
| Street Address |
600 NEW WAVERLY PL STE 310 |
| City | CARY |
| State | NC |
| Zip Code | 27518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932730801 | Fuller & Associates Iv, Pllc | Dentist | 3420 Ten-ten Road, Suite 310, Cary, NC 27518 | 2020-01-30 |
| 1649761602 | Uday N Reebye, Md. Dmd, Pa | Dentist | 431 Keisler Dr Ste 101, Cary, NC 27518 | 2018-05-25 |
| 1164912093 | Cary Dental Rejuvenation | Dentist | 155 Parkway Office Court, Suite 104, Cary, NC 27518 | 2018-05-16 |
| 1104337021 | Kaylah Mckinley Black | Nurse Practitioner | 530 New Waverly Pl Ste 301, Cary, NC 27518 | 2017-10-18 |
| 1013442961 | Amber Pinsky | Occupational Therapist | 5310 Woodfield Lake Road, Cary, NC 27518 | 2017-04-28 |
| 1750733564 | Maureen Lyons Reardon | Psychologist | 2500 Regency Parkway, Cary, NC 27518 | 2016-07-05 |
| 1730539651 | Anna Liakh | Dentist | 8204 Tryon Woods Dr, Cary, NC 27518 | 2016-06-21 |
| 1609236173 | Matthew John Myschisin II | Chiropractor | 4312 Farm Brook Dr, Cary, NC 27518 | 2016-02-26 |
| 1003299405 | Amanda Lee Morris | Social Worker | 531 Keisler Dr Ste 104, Cary, NC 27518 | 2015-07-02 |
| 1053791343 | Duke University Affiliated Physicians | Family Medicine | 530 Waverly Place, Suite 101, Cary, NC 27518 | 2015-06-02 |
| Find all providers in zip 27518 | ||||
| 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 |
|---|---|---|---|---|
| 1336755057 | Holly Springs Ob/gyn, P.a. | Obstetrics & Gynecology | 104 Conway Ct, Cary, NC 27513-9400 | 2020-09-17 |
| 1578917662 | Dennis Zilavy | Obstetrics & Gynecology | 309 Versailles Dr, Cary, NC 27511-6012 | 2016-04-15 |
| 1912392796 | Katherine Corey Bishop | Obstetrics & Gynecology | 1110 Se Cary Pkwy Ste 100, Cary, NC 27518-7420 | 2015-03-30 |
| 1306019195 | Jennifer Lynn Fraley | Obstetrics & Gynecology | 550 New Waverly Pl Ste 200, Cary, NC 27518-7412 | 2008-04-11 |
| 1467418673 | Lisa Lynn Vendeland | Obstetrics & Gynecology | 115 Parkway Office Ct Ste 104, Cary, NC 27518-7436 | 2006-04-25 |
| 1629033352 | Elita N Wyckoff | Obstetrics & Gynecology | 550 New Waverly Pl, Suite 200, Cary, NC 27518-7412 | 2006-04-18 |
| 1750355186 | Anne Bond Archie Bonpain | Obstetrics & Gynecology | 550 New Waverly Place, Cary Ob Gyn, Cary, NC 27511 | 2006-02-14 |
| 1821082280 | Faith D. Daggs | Obstetrics & Gynecology | 7535 Carpenter Fire Station Rd Ste 105, Cary, NC 27519-8617 | 2005-08-31 |
| 1538560966 | Cary Ob/gyn | Obstetrics & Gynecology | 550 New Waverly Pl, Suite 200, Cary, NC 27518-7412 | 2014-09-04 |
| 1366842320 | Triangle Physicians for Women, Pa | Obstetrics & Gynecology | 600 New Waverly Pl, Suite 310, Cary, NC 27518-7404 | 2014-08-27 |
| Find all providers in CARY | ||||
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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.