RALEIGH DURHAM MEDICAL GROUP, PA (NPI# 1457598617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457598617 |
| Entity Type | Organization |
| Organization Name | RALEIGH DURHAM MEDICAL GROUP, PA |
| Other Organization Name | GERALD R. MARTIN, MD |
| Practice Address |
317 Chestnut St Brevard NC 28712-3898 |
| Mailing Address |
5420 Wade Park Blvd Ste. 106 Raleigh NC 27607-4188 |
| Practice Telephone | 8288623360 |
| Practice Fax Number | 8288842586 |
| Mailing Telephone | 9198512174 |
| Mailing Fax Number | 9198547774 |
| Enumeration Date | 2009-01-09 |
| Last Update Date | 2009-03-05 |
| Authorized Official Name | DAVID MOYE (SENIOR VICE PRESIDENT) |
| Authorized Official Telephone | 9198512174 |
| Is Organization Subpart | Y |
| Parent Organization Name | RALEIGH DURHAM MEDICAL GROUP, PA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Gerald R. Martin, MD | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720458326 | Raleigh Durham Medical Group, Pa | Nurse Practitioner | 4748 Main Street, Shallotte, NC 28470 | 2015-09-25 |
| 1437553302 | Raleigh Durham Medical Group, Pa | Family Medicine | 620 Dr Calvin Jones Highway, Ste 212, Wake Forest, NC 27587 | 2014-10-21 |
| 1891025243 | Raleigh Durham Medical Group, Pa | Family Medicine | 220 Ridgefield Ct, Asheville, NC 28806-2209 | 2010-01-07 |
| 1932661246 | Raleigh Durham Medical Group, Pa | Pediatrics | 8300 Health Park Ste 213, Raleigh, NC 27615-4731 | 2019-04-04 |
| 1013371061 | Raleigh Durham Medical Group, Pa | Physician Assistant | 410 Canterbury Rd, Smithfield, NC 27577-4861 | 2016-04-06 |
| 1902264435 | Raleigh Durham Medical Group, Pa | Physician Assistant | 10620 Park Rd, Suite 128, Charlotte, NC 28210-8472 | 2016-01-28 |
| 1023473519 | Raleigh Durham Medical Group, Pa | Nurse Practitioner | 304 S Green St, Morganton, NC 28655-3578 | 2015-12-28 |
| 1609248723 | Raleigh Durham Medical Group, Pa | Pediatrics | 10010 Falls of Neuse Rd, Ste 100, Raleigh, NC 27614-8494 | 2015-10-28 |
| 1518335447 | Raleigh Durham Medical Group, Pa | Family Medicine | 3164 Us Highway 70, Black Mountain, NC 28711-6302 | 2015-09-09 |
| 1407252505 | Raleigh Durham Medical Group, Pa | Family Medicine | 1038 Albemarle Rd, Troy, NC 27371-8684 | 2014-11-17 |
| Street Address |
317 CHESTNUT ST |
| City | BREVARD |
| State | NC |
| Zip Code | 28712-3898 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376009787 | Davidson River Family Medicine Pllc | Family Medicine | 317 Chestnut St, Brevard, NC 28712-3898 | 2019-02-11 |
| 1194784009 | Gerald R Martin | Internal Medicine | 317 Chestnut St, Brevard, NC 28712-3898 | 2006-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205351152 | Kelley Strom | Occupational Therapist | 835 Wolf Pen Cove Road, Brevard, NC 28712 | 2017-08-11 |
| 1568909232 | Christina Faye Jachens | Counselor | 39 East Jordan Street, Brevard, NC 28712 | 2017-01-19 |
| 1922446947 | Allcare Clinical Associates, Pa | Anesthesiology | 89c Hospital Drive, Brevard, NC 28712 | 2013-06-12 |
| 1265742852 | Loftis Home Medical LLC | Durable Medical Equipment & Medical Supplies | 181 Rosman Hwy, Brevard, NC 28712 | 2010-10-15 |
| 1407164395 | United Rehab Inc. | Clinic/Center | 300 Morris Road, Brevard, NC 28712 | 2010-09-14 |
| 1083931851 | Polly Mitchiner-senecal | Pharmacist | 382 Asheville Highway, Brevard, NC 28712 | 2010-05-03 |
| 1891029682 | Douglas Carl Harris | Pharmacist | 382 Asheville Hwy., Brevard, NC 28712 | 2009-09-25 |
| 1386828770 | Academy of The Sierras | Residential Treatment Facility, Physical Disabilities | 1 Lambs Creek Rd, Brevard, NC 28712 | 2007-12-21 |
| 1215117619 | Kimberly Lynn Marchisin | Orthotic Fitter | 10 E Jordan St West, Brevard, NC 28712 | 2007-11-14 |
| 1841482700 | Transylvania County Dss | Public Health or Welfare | 106 E Morgan Street, Brevard, NC 28712 | 2007-08-15 |
| Find all providers in zip 28712 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1710190236 | Gerald R Marschke | Internal Medicine | 192 Eagle Point Drive, Brevard, NC 28712 | 2007-05-08 |
| 1801848650 | Stewart Alan Trimble | Internal Medicine | 59 Morningside Dr, Brevard, NC 28712-3544 | 2006-05-17 |
| 1053381863 | Allan Dale Nash | Internal Medicine | 1664 Probart Street, Brevard, NC 28712 | 2006-01-24 |
| 1194724831 | James Stephen Kelling | Internal Medicine | 187 Medical Park Dr, Brevard, NC 28712-4189 | 2005-07-15 |
| 1750894341 | Mission Hospitals, Inc. | Internal Medicine | 260 Hospital Dr, Brevard, NC 28712-3378 | 2017-11-06 |
| 1316261910 | Chinemerem Yvonne Ugorji | Internal Medicine | 260 Hospital Dr, Brevard, NC 28712-3378 | 2010-03-25 |
| 1912149733 | Charles D. Lefler M.d.,p.a | Internal Medicine | 89 Medical Park Dr, Ste A, Brevard, NC 28712-3035 | 2009-03-25 |
| 1750560504 | Stmd LLC | Internal Medicine | 59 Morningside Dr, Brevard, NC 28712-3544 | 2007-10-29 |
| 1053488403 | Charles Deems Lefler | Internal Medicine | 89 Medical Park Dr, Ste A, Brevard, NC 28712 | 2006-11-29 |
| 1013009547 | Ray H. Dunkelberg | Internal Medicine | 377 Gallimore Rd, Brevard, NC 28712-8874 | 2006-09-29 |
| Find all providers in BREVARD | ||||
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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.