AMN MEDICAL GROUP PLLC (NPI# 1538652557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538652557 |
Entity Type | Organization |
Organization Name | AMN MEDICAL GROUP PLLC |
Other Organization Name | WAKE HEALTH MEDICAL GROUP |
Practice Address |
13200 Falls of Neuse Rd Ste 113 Raleigh NC 27614 |
Mailing Address |
13200 Falls of Neuse Rd Ste 113 Raleigh NC 27614-8269 |
Practice Telephone | 9195546754 |
Mailing Telephone | 9195546754 |
Enumeration Date | 2018-06-13 |
Last Update Date | 2018-06-18 |
Authorized Official Name | ALAN M NADOUR (MEDICAL DIRECTOR) |
Authorized Official Telephone | 9195546754 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | 2012-02254 | NC | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Wake Health Medical Group | Doing Business As Name - Organization |
Street Address |
13200 FALLS OF NEUSE RD STE 113 |
City | RALEIGH |
State | NC |
Zip Code | 27614 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053971739 | Megan Elise Disponett-lee | Family Medicine | 13200 Falls of Neuse Rd Ste 113, Raleigh, NC 27614-8269 | 2019-06-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215419379 | Patrick Orion Finn | Family Medicine | 10010 Falls of The Neuse Rd, Suite 11, Raleigh, NC 27614 | 2018-09-05 |
1497201727 | Kelsey Scheerer | Student in an Organized Health Care Education/Training Program | 11200 Governor Way, Raleigh, NC 27614 | 2016-08-28 |
1538521463 | Liane Rudd | Speech-Language Pathologist | 4700 Norbury Place, Raleigh, NC 27614 | 2016-03-21 |
1891088068 | Michelle Lynn Thompson | Pharmacist | 10930 Raven Ridge Road, Raleigh, NC 27614 | 2011-05-22 |
1821396185 | Bettye Jo Johnson | Physical Medicine & Rehabilitation | 11200 Governor Manly Way, Suite 305, Orhopaedic Specialists of North Carolina, Pa, Raleigh, NC 27614 | 2011-03-09 |
1982900650 | Blake Jennings Lamm | Pharmacist | 14460 New Falls of Neuse Rd, Suite 165, Raleigh, NC 27614 | 2011-01-28 |
1013223023 | Lauren S Lawler | Pharmacist | 11201 Durant Road, Raleigh, NC 27614 | 2010-08-27 |
1588985378 | Kashif Mazhar | General Acute Care Hospital | 10010 Falls of Neuse Road, Suite #12, Raleigh, NC 27614 | 2010-06-16 |
1922240100 | Harris Teeter, LLC | Durable Medical Equipment & Medical Supplies | 14520 John Rex Blvd, Raleigh, NC 27614 | 2009-04-02 |
1700021557 | Wake Forest Counseling Associates, Pllc | Counselor | 3021 Berks Way, Suite 101, Raleigh, NC 27614 | 2008-12-09 |
Find all providers in zip 27614 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
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1063901312 | Triangle Springs Physician Group, LLC | General Practice | 10901 World Trade Blvd, Raleigh, NC 27617-4203 | 2018-05-02 |
1043689565 | Go Hard for Life International | General Practice | 4404 Deer Knoll Ct, Raleigh, NC 27603-8589 | 2015-09-15 |
1740512938 | Gabrielle Denize Newsam | General Practice | 2625 Appliance Ct, Raleigh, NC 27604-2468 | 2010-02-12 |
1114073335 | Mark A Samia | General Practice | 2731 Capital Blvd # B, Raleigh, NC 27604-1509 | 2007-01-29 |
1558434159 | Robin Lincoln Sumner | General Practice | 3737 Glenwood Ave Ste 100, Raleigh, NC 27612 | 2006-11-15 |
1205841616 | Tremont Medical Center P.a. | General Practice | 8312 Creedmoor Rd, Raleigh, NC 27613-1373 | 2006-07-31 |
1134665789 | Southeast Primary Care, Pllc | General Practice | 1911 Falls Valley Dr, Suite 105, Raleigh, NC 27615-2495 | 2017-01-06 |
1649583519 | Community Care Specialists & Urgent Care LLC | General Practice | 3721 Lynn Rd, Suite 104, Raleigh, NC 27613-3854 | 2010-07-21 |
1033430327 | Micah Boaz Edwin | General Practice | 3721 Lynn Rd, Suite 104, Raleigh, NC 27613-3854 | 2010-06-21 |
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.