TRIANGLE GERIATRIC AND MEMORY CLINIC, PLLC


Address: 907 Kildaire Farm Rd, Cary, NC 27511-3922
Phone: 9193196610

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RG0300X Internal Medicine
Specialization: Geriatric Medicine
2010-00095 NC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NC 5919360 05

Office Location

Street Address 907 KILDAIRE FARM RD
City CARY
State NC
Zip Code 27511-3922

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207RG0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Geriatric Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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City CARY
Zip Code 27511

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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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