DR. LYNN M REBELLO


Address: 3024 New Bern Ave, Raleigh, NC 27610
Phone: 9193507846

DR. LYNN M REBELLO (NPI# 1588664924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588664924
Entity Type Individual
Full Name DR. LYNN M REBELLO
Credential MD
Practice Address 3024 New Bern Ave
Raleigh
NC 27610
Mailing Address 1912 Stone St
Raleigh
NC 27608-2251
Practice Telephone 9193507846
Mailing Telephone 9012010644
Enumeration Date 2005-07-28
Last Update Date 2018-07-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208000000X Pediatrics 2009-01170 NC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NC 1588664924 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
50 N Dunlap St, Memphis, TN 381032800 9018695708

Office Location

Street Address 3024 NEW BERN AVE
City RALEIGH
State NC
Zip Code 27610

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NPI Name Taxonomy Address Enumeration
1275158206 Alejandro Ramirez Lopez Physician Assistant 3024 New Bern Ave, Raleigh, NC 27610-1247 2020-06-16
1588225759 Wakemed Specialists Group, LLC Preventive Medicine 3024 New Bern Ave, Raleigh, NC 27610-1247 2019-06-27
1821659079 Sharon Elizabeth Booth Physician Assistant 3024 New Bern Ave, Raleigh, NC 27610-1247 2019-06-27
1790343366 Wakemed Specialists Group LLC Pediatrics 3024 New Bern Ave, Raleigh, NC 27610-1247 2019-05-30
1225693419 Wakemed Specialists Group LLC Surgery 3024 New Bern Ave, Raleigh, NC 27610-1247 2019-05-03
1720643927 Wakemed Specialists Group, LLC Otolaryngology 3024 New Bern Ave, Raleigh, NC 27610-1247 2019-05-03
1649835836 Wakemed Specialists Group, LLC Internal Medicine 3024 New Bern Ave, Raleigh, NC 27610-1247 2019-05-03
1205491487 Wakemed Specialists Group LLC Urology 3024 New Bern Ave, Raleigh, NC 27610-1247 2019-05-03
1639734817 Wakemed Specialists Group, LLC Nutritionist 3024 New Bern Ave, Raleigh, NC 27610-1247 2019-05-03
1821653288 Wakemed Specialists Group, LLC Anesthesiology 3024 New Bern Ave, Raleigh, NC 27610-1247 2019-05-01
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174165187 Breana Lee Chappuis Pediatrics 4605 Lord Mario Ct, Raleigh, NC 27610-8718 2019-10-10
1295217008 Centricity Care, Pllc Pediatrics 2417 Bryarton Woods Dr, Raleigh, NC 27606-4022 2018-08-29
1073914024 Little Oaks Pediatrics, Pllc Pediatrics 13200 Strickland Rd Ste 120, Raleigh, NC 27613-5212 2014-09-09
1700144649 Brett L Maclean Pediatrics 5240 Knollwood Rd, Raleigh, NC 27609-4512 2012-04-29
1134412943 Michael David Brown Pediatrics 3000 Newbern Ave, Dept of Pediatrics, Raleigh, NC 27610 2011-05-26
1801041157 James Gordon Still Pediatrics 4816 Oak Way, Raleigh, NC 27613-6346 2008-11-28
1427231943 Mdfamily Medical Group Pediatrics 1100 N Raleigh Blvd Ste 111, Raleigh, NC 27610-1076 2007-12-06
1144415340 Elizabeth Ann Briere Pediatrics 260 Horizon Dr, Raleigh, NC 27615-4922 2007-09-11
1285831347 Mia N Armstrong Pediatrics 23 Sunnybrook Rd Ste 116, Raleigh, NC 27610-7401 2007-06-29
1558405498 Ceyhun Ozturk Pediatrics 13200 Strickland Rd, Suite 120, Raleigh, NC 27613-5212 2007-02-16
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Competitor

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City RALEIGH
Zip Code 27610

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Dataset Information

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.

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