PHAT V LE (NPI# 1437408531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437408531 |
| Entity Type | Individual |
| Full Name | PHAT V LE |
| Credential | AA |
| Practice Address |
3400 Wake Forest Rd Raleigh NC 27609-7317 |
| Mailing Address |
3100 Spring Forest Rd Ste 130 Raleigh NC 27616-2880 |
| Practice Telephone | 9199543000 |
| Mailing Telephone | 9198739533 |
| Mailing Fax Number | 8444540171 |
| Enumeration Date | 2012-09-05 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367H00000X | Anesthesiologist Assistant | 2012028965 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | TRICARE | 431560263 | 01 |
| MO | RR MCR | P01129107 | 01 |
| MO | 1437408531 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1235 E Cherokee, Springfield, MO 658042203 | 4178202829 | 4178208852 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598991713 | Phat H Le | Marriage & Family Therapist | 2351 Cardinal Ln Annex B, San Diego, CA 92123 | 2009-06-02 |
| 1699905802 | Phat Huy Le | Internal Medicine | 18400 Katy Fwy, Suite 350, Houston, TX 77094-1286 | 2009-07-22 |
| Street Address |
3400 WAKE FOREST RD |
| City | RALEIGH |
| State | NC |
| Zip Code | 27609-7317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013916352 | Duke University Health System Inc | General Acute Care Hospital | 3400 Wake Forest Rd, Raleigh, NC 27609-7317 | 2005-07-19 |
| 1023632742 | Rebecca D Griffin | Nurse Anesthetist, Certified Registered | 3400 Wake Forest Rd, Raleigh, NC 27609-7317 | 2020-05-29 |
| 1013536366 | Melaine Roushini Rajanayagam | Nurse Practitioner | 3400 Wake Forest Rd, Raleigh, NC 27609-7317 | 2020-04-15 |
| 1902435969 | Corey Michael Grindo | Nurse Practitioner | 3400 Wake Forest Rd, Raleigh, NC 27609-7317 | 2020-04-02 |
| 1659906303 | Nicholas P Glover | Nurse Anesthetist, Certified Registered | 3400 Wake Forest Rd, Raleigh, NC 27609-7317 | 2020-03-03 |
| 1982247292 | Coral Elyse Stevens Hodges | Neurological Surgery | 3400 Wake Forest Rd, Raleigh, NC 27609-7317 | 2019-10-21 |
| 1205477676 | Joana Lule | Hospitalist | 3400 Wake Forest Rd, Raleigh, NC 27609-7317 | 2019-10-07 |
| 1780235119 | Melissa V Moreda | Clinical Nurse Specialist | 3400 Wake Forest Rd, Raleigh, NC 27609-7317 | 2019-09-26 |
| 1871159202 | Lindsey Theresa Hanley | Nurse Practitioner | 3400 Wake Forest Rd, Raleigh, NC 27609-7317 | 2019-05-10 |
| 1538629829 | Megan Childs | Student in an Organized Health Care Education/Training Program | 3400 Wake Forest Rd, Raleigh, NC 27609-7317 | 2019-03-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184235582 | Choice Service Solutions LLC | In Home Supportive Care | 5300 Six Fox Rd Siite205, Raleigh, NC 27609 | 2020-08-11 |
| 1003426073 | Rosana Oba -rovira | Registered Nurse | 5300 Six Fox Road, Suite 205, Raleigh, NC 27609 | 2020-08-05 |
| 1821612706 | Helen Alexandra Bonner | Physical Medicine & Rehabilitation | Hey Clinic Pa, 3320 Wake Forest Road Ste 450, Raleigh, NC 27609 | 2020-06-05 |
| 1215423579 | Appiah Nana Larbi | Social Worker | Easter Seals Ucp 4000 Wake Forest Rd Ste 200, Raleigh, NC 27609 | 2018-07-10 |
| 1215423777 | Broadway Home Care LLC | In Home Supportive Care | 107 Windel Dr Ste 105, Raleigh, NC 27609 | 2018-07-09 |
| 1275027948 | Lacey Allene Cottingham | Social Worker | 312 W Millbrook Rd Ste 129, Raleigh, NC 27609 | 2018-06-18 |
| 1447748819 | Integrated Dermatology of North Raleigh, Pllc | Dermatology | 3809 Computer Dr Ste 200, Raleigh, NC 27609 | 2018-05-01 |
| 1902325418 | Naomi Christine Askew | Nurse Practitioner | 3400 Wake Forest Drive, Bldg 9, Bldg #9, 4th Floor, Raleigh, NC 27609 | 2017-09-15 |
| 1962929679 | Alexia Montague | Social Worker | 1306 Paddock Drive Suite E-100, Raleigh, NC 27609 | 2017-08-23 |
| 1730602236 | Chantel Washington-mbuthia | Counselor | 1100 Logger Ct. Ste C100, Heartfelt Alternative Inc, Raleigh, NC 27609 | 2017-07-18 |
| Find all providers in zip 27609 | ||||
| Taxonomy Code | 367H00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Anesthesiologist Assistant |
| An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780174425 | Tyler Jacob Howard | Anesthesiologist Assistant | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2018-05-17 |
| 1992226161 | Jacqueline Elyse Neagos | Anesthesiologist Assistant | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2017-06-28 |
| 1043667470 | Meng Chen | Anesthesiologist Assistant | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2016-05-16 |
| 1114381134 | Peter Joseph Mcneely | Anesthesiologist Assistant | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2016-04-06 |
| 1831550086 | Luis De Carvalho Leao | Anesthesiologist Assistant | 3000 New Bern Ave, Raleigh, NC 27610 | 2016-03-16 |
| 1548621873 | Ashley Marie Steinbach | Anesthesiologist Assistant | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2016-03-15 |
| 1437510781 | Keith Casey Menton | Anesthesiologist Assistant | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2016-03-15 |
| 1861868523 | Jillian Carden | Anesthesiologist Assistant | 3100 Spring Forest Rd, Raleigh, NC 27616-2880 | 2015-08-18 |
| 1639555022 | Anthony Paul Carden | Anesthesiologist Assistant | 3100 Spring Forest Rd, Raleigh, NC 27616-2880 | 2015-08-07 |
| 1346634532 | Victoria Wompierski | Anesthesiologist Assistant | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2015-03-25 |
| 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.