TRIANGLE GERIATRIC AND MEMORY CLINIC, PLLC (NPI# 1427487099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427487099 |
| Entity Type | Organization |
| Organization Name | TRIANGLE GERIATRIC AND MEMORY CLINIC, PLLC |
| Practice Address |
907 Kildaire Farm Rd Cary NC 27511-3922 |
| Mailing Address |
203 Michelangelo Way Cary NC 27518-8716 |
| Practice Telephone | 9193196610 |
| Practice Fax Number | 9193196365 |
| Mailing Telephone | 9193196610 |
| Mailing Fax Number | 9193196365 |
| Enumeration Date | 2013-11-05 |
| Last Update Date | 2015-04-07 |
| Authorized Official Name | JOHN SMITH (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 9193426842 |
| Authorized Official Credential | CREDENTIALS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
2010-00095 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5919360 | 05 |
| Street Address |
907 KILDAIRE FARM RD |
| City | CARY |
| State | NC |
| Zip Code | 27511-3922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336289065 | Raj Polavaram | Internal Medicine | 907 Kildaire Farm Rd, Cary, NC 27511-3922 | 2007-02-08 |
| 1134687718 | Jacquelyn Nicole Barish | Nurse Practitioner | 907 Kildaire Farm Rd, Cary, NC 27511-3922 | 2019-03-04 |
| 1164883401 | Wake Neuropathy P.a. | Chiropractor | 907 Kildaire Farm Rd, Cary, NC 27511-3922 | 2016-03-15 |
| 1225338304 | Piedmont Clinic of Chiropractic | Chiropractor | 907 Kildaire Farm Rd, Cary, NC 27511-3922 | 2010-10-23 |
| 1811209901 | Western Wake Internal Medicine | Non-Pharmacy Dispensing Site | 907 Kildaire Farm Rd, Cary, NC 27511-3922 | 2010-07-06 |
| 1366765968 | Sean Phillips | Chiropractor | 907 Kildaire Farm Rd, Cary, NC 27511-3922 | 2010-03-10 |
| 1477717445 | Ramesh Babu Konduru | Internal Medicine | 907 Kildaire Farm Rd, Cary, NC 27511-3922 | 2008-07-17 |
| 1760523260 | Western Wake Internal Medicine | Internal Medicine | 907 Kildaire Farm Rd, Cary, NC 27511-3922 | 2007-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730792615 | Jill Manning West | Pharmacy | 118 Mackenan Dr., Suite 200, Cary, NC 27511 | 2020-08-28 |
| 1275145658 | Next Level Counseling, Pllc | Community/Behavioral Health | Tele-therapy Only, Cary, NC 27511 | 2020-08-18 |
| 1801429568 | Cheryl Perozek Reid | Physical Therapist | Brightstar Cary, 102 Commonwealth Court Unit K, Cary, NC 27511 | 2020-02-20 |
| 1912543075 | Courtney Hansen | Specialist/Technologist | 103 Fountain Brook Circle, D2, Cary, NC 27511 | 2019-11-25 |
| 1619438512 | Karlianna E.s Williams | Behavior Technician | 111 Mackenan, Cary, NC 27511 | 2019-03-25 |
| 1992272058 | Best Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 590 E Chatham Street, Ste 108, Cary, NC 27511 | 2018-10-26 |
| 1275015620 | Edward Michael Sleigh | Marriage & Family Therapist | 110 Iowa Ln, Ste 204, Cary, NC 27511 | 2018-09-02 |
| 1477044048 | Leonard Deleon | Pharmacist | 1230 Se Maynard Rd # 202, Cary, NC 27511 | 2018-05-19 |
| 1932699030 | Valerie Hunter Whidbee | Specialist | 139 E Chatham Street, Suite 105, Cary, NC 27511 | 2018-05-14 |
| 1588153878 | Ashley Horak Gyori | Speech-Language Pathologist | 905 Balmoral Dr, Cary, NC 27511 | 2018-05-02 |
| Find all providers in zip 27511 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457351462 | Terri M Byrd | Internal Medicine | 156 Shirley Dr, Cary, NC 27511-3852 | 2005-08-01 |
| 1124422076 | Saifullah K. Afridi | Internal Medicine | 6590 Tryon Rd, Cary, NC 27518-7052 | 2014-10-21 |
| 1891820148 | Michael Bienenfeld Md Pa | Internal Medicine | 1505 Sw Cary Pkwy, Suite 308, Cary, NC 27511-6219 | 2007-02-23 |
| 1528021631 | Maurice Bienenfeld | Internal Medicine | 1505 Sw Cary Pkwy, Suite 308, Cary, NC 27511-6219 | 2006-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205324449 | Innovative Healthcare Management Provider Group | Internal Medicine | 19401 Old Jetton Rd Ste 100, Cornelius, NC 28031-6575 | 2018-04-24 |
| 1396241030 | Erickson Health Medical Group of North Carolina, PC | Internal Medicine | 2030 Windsor Run Lane, Matthews, NC 28105 | 2018-04-02 |
| 1710480066 | Novant Medical Group, Inc. | Internal Medicine | 1450 Matthews Township Pkwy Ste 400, Matthews, NC 28105-5336 | 2018-03-13 |
| 1710306204 | Serena Wong | Internal Medicine | 40 Duke Medicine Cir Rm 2512, Durham, NC 27710-2527 | 2014-04-10 |
| 1033554811 | Ben Adam Blomberg | Internal Medicine | 6011 Farrington Rd, Suite 101, Chapel Hill, NC 27517-8168 | 2013-05-07 |
| 1881941706 | Robert Sullivan | Internal Medicine | 294 Highview Dr, Chapel Hill, NC 27517-7911 | 2012-08-09 |
| 1780974584 | Claire Kathryn Larson | Internal Medicine | 5003 Old Clinic Bldg Cb 7550, Chapel Hill, NC 27599-2204 | 2011-04-13 |
| 1316236649 | Mia Yang | Internal Medicine | Internal Medicine Section On Gerontology &, 1st Floor Sticht Center, Medical Center Boulevard, Winston Salem, NC 27157-0001 | 2011-04-07 |
| 1659673838 | Moses Cone Affiliated Physicians, Inc. | Internal Medicine | 1200 N Elm Street, Moses Cone Health System, Administrativeservices,ste201, Greensboro, NC 27401-1020 | 2010-11-22 |
| 1871821728 | Pamela Estelle Gutman | Internal Medicine | 189 Country Club Rd, Asheville, NC 28804 | 2009-12-03 |
| Find all providers with the same taxonomy | ||||
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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.