WAKE HEALTH SERVICES (NPI# 1497992549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497992549 |
| Entity Type | Organization |
| Organization Name | WAKE HEALTH SERVICES |
| Other Organization Name | ROCK QUARRY ROAD FAMILY MEDICINE |
| Practice Address |
1001 Rock Quarry Rd Raleigh NC 27610-3825 |
| Mailing Address |
5810 Nancy Ridge Dr 100 San Diego CA 92121-2834 |
| Practice Telephone | 9197555071 |
| Enumeration Date | 2009-01-12 |
| Last Update Date | 2009-01-12 |
| Authorized Official Name | KENNY HEINE (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 8586252990 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEDVANTX, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | 200301233 | NC | Suppliers |
| Other Name | Type Code |
|---|---|
| Rock Quarry Road Family Medicine | Doing Business As Name - Organization |
| Street Address |
1001 ROCK QUARRY RD |
| City | RALEIGH |
| State | NC |
| Zip Code | 27610-3825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194700583 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 1001 Rock Quarry Rd, Raleigh, NC 27610-3825 | 2005-12-08 |
| 1750929519 | Rosedelia Chinyere Okoro | Nurse Practitioner | 1001 Rock Quarry Rd, Raleigh, NC 27610-3825 | 2019-12-11 |
| 1700354156 | Clinton Michael Walters | Counselor | 1001 Rock Quarry Rd, Raleigh, NC 27610-3825 | 2018-11-04 |
| 1720508328 | Chigozirim Ogar | Dentist | 1001 Rock Quarry Rd, Raleigh, NC 27610-3825 | 2017-06-23 |
| 1538573209 | Andrea Allen | Nutritionist | 1001 Rock Quarry Rd, Raleigh, NC 27610-3825 | 2014-06-20 |
| 1376855759 | Doris Maria Nicolas-mir | Dietitian, Registered | 1001 Rock Quarry Rd, Raleigh, NC 27610-3825 | 2010-07-13 |
| 1184812521 | Ayanna James Kozlow | Physician Assistant | 1001 Rock Quarry Rd, Raleigh, NC 27610-3825 | 2007-10-10 |
| 1124056072 | Ismael Flores-santiago | Internal Medicine | 1001 Rock Quarry Rd, Raleigh, NC 27610-3825 | 2006-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609499243 | Elizabeth Ranganai Mavindidze | Social Worker | Wakemed Health and Hospitals, 3000 New Bern Avenue, Raleigh, NC 27610 | 2020-05-18 |
| 1851958839 | Alex & Associates, P.C. | Dentist | 1600 Cross Link Road, Unit 103, Raleigh, NC 27610 | 2019-05-24 |
| 1639646367 | Carol Mary Medins | Dietitian, Registered | Wakemed Raleigh Medical Park, 23 Sunnybrook Road, Suite 200, Raleigh, NC 27610 | 2018-10-31 |
| 1144714601 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 123 Sunnybrook Rd Ste 150, Raleigh, NC 27610 | 2018-06-19 |
| 1417446006 | Eagles Eye Lab, Inc | Clinical Medical Laboratory | 4501 New Bern Ave, Ste: 130, Raleigh, NC 27610 | 2018-05-09 |
| 1316465206 | Jeffery King Neer | Social Worker | 3010 Falstaff Rd., C/o Unc Actt, Raleigh, NC 27610 | 2017-08-31 |
| 1083139885 | Kelsey Daniel Mccleave | Social Worker | 3630 Enduring Freedom Drive, Raleigh, NC 27610 | 2017-08-14 |
| 1891219093 | Tarheel Residential Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4840 Quarryman Road, Raleigh, NC 27610 | 2017-07-29 |
| 1508214826 | Compassionate Care Providers LLC | Respite Care | 5110 Wetlands, Raleigh, NC 27610 | 2016-05-26 |
| 1730552530 | Matthew Belair | Pharmacist | 1601-51 Cross Link Rd, Raleigh, NC 27610 | 2015-11-03 |
| Find all providers in zip 27610 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033589072 | Urgent Cares of America North Carolina Inc | Non-Pharmacy Dispensing Site | 6010 Glenwood Ave, Raleigh, NC 27612-2602 | 2015-10-02 |
| 1952867095 | Associated Urologists of North Carolina Pa | Non-Pharmacy Dispensing Site | 3821 Ed Dr, Raleigh, NC 27612-8038 | 2019-02-13 |
| 1710331640 | Raleigh Durham Medical Group Pa | Non-Pharmacy Dispensing Site | 8020 Creedmoor Rd, Raleigh, NC 27613-4363 | 2016-04-18 |
| 1841600749 | Med One Medical Group | Non-Pharmacy Dispensing Site | 7019 Harps Mill Rd, Suite 200, Raleigh, NC 27615-3248 | 2014-04-30 |
| 1861810715 | Carolina Partners In Mental | Non-Pharmacy Dispensing Site | 1055 Dresser Ct, Raleigh, NC 27609-7323 | 2014-03-28 |
| 1346671732 | Avance Care Pa | Non-Pharmacy Dispensing Site | 7510 Ramble Way, Suite 107, Raleigh, NC 27616-4305 | 2013-12-10 |
| 1821338195 | Raleigh Durham Medical Group | Non-Pharmacy Dispensing Site | 701 Exposition Pl, Suite 208, Raleigh, NC 27615-3300 | 2013-02-25 |
| 1982949947 | Urgent Cares of America North Carolina Inc. | Non-Pharmacy Dispensing Site | 1311 E Millbrook Rd, Raleigh, NC 27609-5473 | 2012-12-03 |
| 1053656025 | Urgent Cares of America North Carolina Inc | Non-Pharmacy Dispensing Site | 6500 Creedmoor Rd, 110, Raleigh, NC 27613-3697 | 2012-12-03 |
| 1942581947 | Avance Care P.a. | Non-Pharmacy Dispensing Site | 12341 Strickland Rd, 102, Raleigh, NC 27613 | 2011-09-02 |
| 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.