RALEIGH DURHAM MEDICAL GROUP, PA (NPI# 1609248723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609248723 |
| Entity Type | Organization |
| Organization Name | RALEIGH DURHAM MEDICAL GROUP, PA |
| Other Organization Name | NORTH WAKE PEDIATRICS |
| Practice Address |
10010 Falls of Neuse Rd Ste 100 Raleigh NC 27614-8494 |
| Mailing Address |
5420 Wade Park Blvd Ste 106 Raleigh NC 27607-4188 |
| Practice Telephone | 9198482167 |
| Practice Fax Number | 9198482168 |
| Mailing Telephone | 9192335952 |
| Mailing Fax Number | 9198547774 |
| Enumeration Date | 2015-10-28 |
| Last Update Date | 2015-10-28 |
| Authorized Official Name | DAVID MOYE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9192335952 |
| Is Organization Subpart | Y |
| Parent Organization Name | RALEIGH DURHAM MEDICAL GROUP, PA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| North Wake Pediatrics | 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 |
| 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 |
| 1023413523 | Raleigh Durham Medical Group, Pa | Internal Medicine | 5816 Creedmoor Rd, Ste 105, Raleigh, NC 27612-2310 | 2014-10-27 |
| Street Address |
10010 FALLS OF NEUSE RD STE 100 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27614-8494 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972575934 | Inam Rashid | Family Medicine | 10010 Falls of Neuse Rd, Suite 103, Raleigh, NC 27614-8494 | 2006-02-03 |
| 1164059036 | Stephanie Schwarz Baker | Physical Therapist | 10010 Falls of Neuse Rd, Raleigh, NC 27614-8494 | 2020-03-23 |
| 1861030108 | Katherine Celeste Brewer | Occupational Therapist | 10010 Falls of Neuse Rd, Raleigh, NC 27614-8494 | 2019-12-17 |
| 1659936839 | Wakemed Specialists Group, LLC | Otolaryngology | 10010 Falls of Neuse Rd, Raleigh, NC 27614-8494 | 2019-05-03 |
| 1073178398 | Wakemed Specialists Group LLC | Internal Medicine | 10010 Falls of Neuse Rd, Raleigh, NC 27614-8494 | 2019-05-02 |
| 1598320830 | Wakemed Specialists Group, LLC | Obstetrics & Gynecology | 10010 Falls of Neuse Rd, Raleigh, NC 27614-8494 | 2019-05-02 |
| 1174188494 | Wakemed Specialists Group, LLC | Occupational Therapist | 10010 Falls of Neuse Rd, Raleigh, NC 27614-8494 | 2019-05-02 |
| 1518521905 | Wakemed Specialists Group LLC | Obstetrics & Gynecology | 10010 Falls of Neuse Rd, Raleigh, NC 27614-8494 | 2019-05-01 |
| 1013571405 | Wakemed Specialists Group, LLC | Pediatrics | 10010 Falls of Neuse Rd, Raleigh, NC 27614-8495 | 2019-05-01 |
| 1063076453 | Wakemed Specialists Group LLC | Obstetrics & Gynecology | 10010 Falls of Neuse Rd, Raleigh, NC 27614-8494 | 2019-05-01 |
| Find all providers in the same location | ||||
| 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 |
| 1538652557 | Amn Medical Group Pllc | General Practice | 13200 Falls of Neuse Rd Ste 113, Raleigh, NC 27614 | 2018-06-13 |
| 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 |
| Find all providers in zip 27614 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| 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. |
| 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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| 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.