RALEIGH DURHAM MEDICAL GROUP, PA (NPI# 1508139098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508139098 |
| Entity Type | Organization |
| Organization Name | RALEIGH DURHAM MEDICAL GROUP, PA |
| Other Organization Name | HAZELWOOD FAMILY MEDICINE |
| Practice Address |
1088 Brown Ave Waynesville NC 28786-1918 |
| Mailing Address |
5420 Wade Park Blvd Ste 106 Raleigh NC 27607-4188 |
| Practice Telephone | 8284562828 |
| Practice Fax Number | 8284568501 |
| Mailing Telephone | 9192335952 |
| Mailing Fax Number | 9198547774 |
| Enumeration Date | 2012-02-15 |
| Last Update Date | 2012-02-15 |
| Authorized Official Name | DAVID MOYE (EXECUTIVE DIRECTOR) |
| 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 | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Hazelwood Family Medicine | 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 |
1088 BROWN AVE |
| City | WAYNESVILLE |
| State | NC |
| Zip Code | 28786-1918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346296050 | Ely D Zaslow | Family Medicine | 1088 Brown Ave, Waynesville, NC 28786-1918 | 2006-05-25 |
| 1801348347 | Sarah Lipham | Nurse Practitioner | 1088 Brown Ave, Waynesville, NC 28786-1918 | 2016-11-01 |
| 1134553290 | Lynne Finger Msw Lcsw Pa | Social Worker | 1088 Brown Ave, Waynesville, NC 28786-1918 | 2013-08-26 |
| 1619143211 | Jennifer Clemons, Lcsw, Inc | Community/Behavioral Health | 1088 Brown Ave, Waynesville, NC 28786-1918 | 2008-05-02 |
| 1689748527 | Elizabeth Kathleen Carmichael | Registered Nurse | 1088 Brown Ave, Waynesville, NC 28786-1918 | 2006-11-20 |
| 1497828511 | Jan Maree Pixton | Physician Assistant | 1088 Brown Ave, Waynesville, NC 28786-1918 | 2006-11-16 |
| 1023124575 | Hazelwood Family Medicine, Pllc | Family Medicine | 1088 Brown Ave, Waynesville, NC 28786-1918 | 2006-08-21 |
| 1306874276 | Michael Ashley Brown | Family Medicine | 1088 Brown Ave, Waynesville, NC 28786-1918 | 2006-06-29 |
| 1831126614 | Lynne Finger | Social Worker | 1088 Brown Ave, Waynesville, NC 28786-1918 | 2006-06-27 |
| 1225078546 | Edmond J Welsh | Emergency Medicine | 1088 Brown Ave, Waynesville, NC 28786-1918 | 2006-06-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073005898 | Ezekiel Jonathan Watts | Chiropractor | 627 N Main St Ste 2, Waynesville, NC 28786 | 2018-06-06 |
| 1093228009 | Ingles Markets Inc | Pharmacy | 1670 Brown Ave, Waynesville, NC 28786 | 2017-11-13 |
| 1588198485 | Suzanne Howle | Speech-Language Pathologist | 516 Wall Street, Waynesville, NC 28786 | 2017-04-18 |
| 1477086627 | Cm Pharmacy LLC | Pharmacy | 97 Kent Lane, Waynesville, NC 28786 | 2017-04-05 |
| 1417315524 | Meridian Behavioral Health Services, Inc | Community/Behavioral Health | 495 Brown Ave, Waynesville, NC 28786 | 2016-02-03 |
| 1710342639 | Lauren Keeler | Pharmacist | 259 Barber Blvd, Waynesville, NC 28786 | 2015-12-18 |
| 1124467154 | Meridian Behavioral Health Services, Inc. | Community/Behavioral Health | 367 Dellwood Rd Ste E, Waynesville, NC 28786 | 2013-06-24 |
| 1750681888 | Crystal Klunk | Counselor | 669 South Haywood Street, Waynesville, NC 28786 | 2010-10-22 |
| 1043527294 | Amanda Clemmons Savage | Pharmacist | 366 Russ Ave, Kim's Pharmacy, Waynesville, NC 28786 | 2010-09-09 |
| 1902064355 | Rebecca Lynn Mattson | Pharmacist | 733 Russ Ave, Waynesville, NC 28786 | 2008-05-31 |
| Find all providers in zip 28786 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972133460 | Fnp4jc, LLC | Family Medicine | 215 North Street, Waynesville, MO 65583 | 2020-01-23 |
| 1205026630 | Mountaintop Healthcare | Family Medicine | 34 Sims Cir, Waynesville, NC 28786-3056 | 2007-08-01 |
| 1558434316 | Iris Laurene Turner | Family Medicine | 21300 Highway 82, Suite C, Waynesville, GA 31566-3862 | 2006-11-17 |
| 1639263775 | David Donald Wangerin Lile | Family Medicine | 1272 East Street, Waynesville, NC 28786 | 2006-10-03 |
| 1093746406 | Haywood Family Medicine Professional LLC | Family Medicine | 1170 Crabtree Rd, Waynesville, NC 28785-7443 | 2006-07-05 |
| 1346296050 | Ely D Zaslow | Family Medicine | 1088 Brown Ave, Waynesville, NC 28786-1918 | 2006-05-25 |
| 1619953742 | Paul J Opsahl | Family Medicine | 4353 E State Route 73, Waynesville, OH 45068-8866 | 2005-12-20 |
| 1699769224 | Donald Robert Teater | Family Medicine | 1207 East St, Waynesville, NC 28786-3438 | 2005-09-09 |
| 1437674454 | Sammy Lane Radcliff | Family Medicine | 1000 Gw Ln, Waynesville, MO 65583-2339 | 2017-08-10 |
| 1558771584 | Staci Shepard | Family Medicine | 1272 East St, Waynesville, NC 28786-3437 | 2014-04-29 |
| Find all providers in WAYNESVILLE | ||||
| City | WAYNESVILLE |
| Zip Code | 28786 |
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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.