WESTERN WAKE WELLNESS (NPI# 1598149502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598149502 |
| Entity Type | Organization |
| Organization Name | WESTERN WAKE WELLNESS |
| Practice Address |
401 Keisler Dr Suite 101 Cary NC 27518-7084 |
| Practice Telephone | 9193781492 |
| Mailing Telephone | 9193781492 |
| Enumeration Date | 2015-07-20 |
| Last Update Date | 2020-01-27 |
| Authorized Official Name | DARLENE NAGEL (PRACTICE MANAGER) |
| Authorized Official Telephone | 9193781492 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | NC | Allopathic & Osteopathic Physicians |
| Street Address |
401 KEISLER DR SUITE 101 |
| City | CARY |
| State | NC |
| Zip Code | 27518-7084 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407824808 | Christin Lynn Simpson | Psychologist | 401 Keisler Dr, Suite 101, Cary, NC 27518-7084 | 2006-03-10 |
| 1316470156 | Emily Summer Padian | Dietitian, Registered | 401 Keisler Dr, 101, Cary, NC 27518-7084 | 2017-04-08 |
| 1275996167 | Wake Wellness | Clinic/Center | 401 Keisler Dr, Cary, NC 27518-7084 | 2016-03-30 |
| 1396148367 | Priscilla Evans | Naturopath | 401 Keisler Dr, Suite 101, Cary, NC 27518-7084 | 2014-10-03 |
| 1871914366 | Ivy Todd | Physician Assistant | 401 Keisler Dr, Ste. 101, Cary, NC 27518-7084 | 2013-12-30 |
| 1316280415 | Raleigh Durham Medical Group, Pa | Family Medicine | 401 Keisler Dr, Suite 101, Cary, NC 27518-7084 | 2013-03-27 |
| 1992033617 | Private Diagnostic Clinic, Pllc | Orthopaedic Surgery | 401 Keisler Dr, Cary, NC 27518-7084 | 2009-11-19 |
| 1982849725 | David L. Peters | Acupuncturist | 401 Keisler Dr, Suite 100, Cary, NC 27518-7084 | 2008-12-08 |
| 1821277997 | Allergy, Asthma & Sinus Center, P.a. | Allergy & Immunology | 401 Keisler Dr, Cary, NC 27518-7084 | 2007-10-25 |
| 1831113307 | Gurdev Singh Judge | Allergy & Immunology | 401 Keisler Dr, Suite 201, Cary, NC 27511-7084 | 2006-07-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932730801 | Fuller & Associates Iv, Pllc | Dentist | 3420 Ten-ten Road, Suite 310, Cary, NC 27518 | 2020-01-30 |
| 1649761602 | Uday N Reebye, Md. Dmd, Pa | Dentist | 431 Keisler Dr Ste 101, Cary, NC 27518 | 2018-05-25 |
| 1164912093 | Cary Dental Rejuvenation | Dentist | 155 Parkway Office Court, Suite 104, Cary, NC 27518 | 2018-05-16 |
| 1104337021 | Kaylah Mckinley Black | Nurse Practitioner | 530 New Waverly Pl Ste 301, Cary, NC 27518 | 2017-10-18 |
| 1013442961 | Amber Pinsky | Occupational Therapist | 5310 Woodfield Lake Road, Cary, NC 27518 | 2017-04-28 |
| 1750733564 | Maureen Lyons Reardon | Psychologist | 2500 Regency Parkway, Cary, NC 27518 | 2016-07-05 |
| 1730539651 | Anna Liakh | Dentist | 8204 Tryon Woods Dr, Cary, NC 27518 | 2016-06-21 |
| 1609236173 | Matthew John Myschisin II | Chiropractor | 4312 Farm Brook Dr, Cary, NC 27518 | 2016-02-26 |
| 1003299405 | Amanda Lee Morris | Social Worker | 531 Keisler Dr Ste 104, Cary, NC 27518 | 2015-07-02 |
| 1053791343 | Duke University Affiliated Physicians | Family Medicine | 530 Waverly Place, Suite 101, Cary, NC 27518 | 2015-06-02 |
| Find all providers in zip 27518 | ||||
| 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 |
|---|---|---|---|---|
| 1407482912 | Mideastern Primary Care Pllc | Family Medicine | 205 S Academy St Unit 4652, Cary, NC 27519-3538 | 2020-03-16 |
| 1679125439 | Teresa Lauren Britt | Family Medicine | 301 Ashville Ave Ste 111, Cary, NC 27518-6131 | 2019-07-11 |
| 1982131843 | Spectrum Family Medicine Pllc | Family Medicine | 519 Keisler Dr Ste 104, Cary, NC 27518-7098 | 2017-05-22 |
| 1053791343 | Duke University Affiliated Physicians | Family Medicine | 530 Waverly Place, Suite 101, Cary, NC 27518 | 2015-06-02 |
| 1326426792 | Christine Michelle Beyke | Family Medicine | 351 Wellesley Trade Ln Ste 100, Cary, NC 27519-5669 | 2015-05-18 |
| 1669868956 | Sydney Michelle Clark | Family Medicine | 540 New Waverly Pl Ste 200, Cary, NC 27518-7422 | 2015-04-13 |
| 1699197350 | Richard Ebken | Family Medicine | 7540 Mccrimmon Pkwy, Cary, NC 27519-1879 | 2014-01-15 |
| 1619228665 | Family Doctor Carync, P.l.l.c. | Family Medicine | 200 Keisler Dr Ste B, Cary, NC 27518-8801 | 2012-09-29 |
| 1538415377 | James Carver Hill | Family Medicine | 1316 Yubinaranda Cir, Cary, NC 27511-5629 | 2012-07-30 |
| 1437412871 | Ashley E Wofford Leong | Family Medicine | 1021 Darrington Dr, Generations Family Practice, Cary, NC 27513 | 2012-06-20 |
| Find all providers in CARY | ||||
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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.