MS. ELITA N WYCKOFF


Address: 550 New Waverly Pl, Suite 200, Cary, NC 27518-7412
Phone: 9194675941

MS. ELITA N WYCKOFF (NPI# 1629033352) 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) 1629033352
Entity Type Individual
Full Name MS. ELITA N WYCKOFF
Credential MD
Practice Address 550 New Waverly Pl
Suite 200
Cary
NC 27518-7412
Practice Telephone 9194675941
Practice Fax Number 9196550532
Mailing Telephone 9194675941
Mailing Fax Number 9196550532
Enumeration Date 2006-04-18
Last Update Date 2010-02-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207V00000X Obstetrics & Gynecology 2005 00581 NC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NC 5902025 05

Office Location

Street Address 550 NEW WAVERLY PL
SUITE 200
City CARY
State NC
Zip Code 27518-7412

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831612779 Heather R Flowers Registered Nurse 550 New Waverly Pl, Cary, NC 27518-7412 2017-07-24
1336520675 Summit Endocrine & Diabetes Pllc Internal Medicine 550 New Waverly Pl, Suite 120, Cary, NC 27518-7412 2015-06-12
1538560966 Cary Ob/gyn Obstetrics & Gynecology 550 New Waverly Pl, Suite 200, Cary, NC 27518-7412 2014-09-04
1023346400 Patricia Brown-prestia Nurse Practitioner 550 New Waverly Pl, Suite 200, Cary, NC 27518-7412 2009-11-24
1609084151 Khushbu Anirudhdha Chandarana Internal Medicine 550 New Waverly Pl, Suite 120, Cary, NC 27518-7412 2007-05-18
1184751372 Cary Medical Clinic, PC Internal Medicine 550 New Waverly Pl, Suite 105, Cary, NC 27518-7412 2007-02-27
1669561932 Neelu Agarwal Internal Medicine 550 New Waverly Pl, Suite 105, Cary, NC 27511-7412 2006-10-12
1770672057 Abhay Agarwal Internal Medicine 550 New Waverly Pl, Suite 105, Cary, NC 27511-7412 2006-10-12
1154378420 Edavally Narayan Reddy Internal Medicine 550 New Waverly Pl, Suite 120, Cary, NC 27511-7412 2006-05-30
1164489696 Women's Health Alliance, P.a. Obstetrics & Gynecology 550 New Waverly Pl, Cary, NC 27511-7412 2006-04-27
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207V00000X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology

Taxonomy Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336755057 Holly Springs Ob/gyn, P.a. Obstetrics & Gynecology 104 Conway Ct, Cary, NC 27513-9400 2020-09-17
1578917662 Dennis Zilavy Obstetrics & Gynecology 309 Versailles Dr, Cary, NC 27511-6012 2016-04-15
1912392796 Katherine Corey Bishop Obstetrics & Gynecology 1110 Se Cary Pkwy Ste 100, Cary, NC 27518-7420 2015-03-30
1306019195 Jennifer Lynn Fraley Obstetrics & Gynecology 550 New Waverly Pl Ste 200, Cary, NC 27518-7412 2008-04-11
1366640658 Kristina Renee Ericsson Obstetrics & Gynecology 600 New Waverly Pl Ste 310, Cary, NC 27518 2007-07-07
1467418673 Lisa Lynn Vendeland Obstetrics & Gynecology 115 Parkway Office Ct Ste 104, Cary, NC 27518-7436 2006-04-25
1750355186 Anne Bond Archie Bonpain Obstetrics & Gynecology 550 New Waverly Place, Cary Ob Gyn, Cary, NC 27511 2006-02-14
1821082280 Faith D. Daggs Obstetrics & Gynecology 7535 Carpenter Fire Station Rd Ste 105, Cary, NC 27519-8617 2005-08-31
1538560966 Cary Ob/gyn Obstetrics & Gynecology 550 New Waverly Pl, Suite 200, Cary, NC 27518-7412 2014-09-04
1366842320 Triangle Physicians for Women, Pa Obstetrics & Gynecology 600 New Waverly Pl, Suite 310, Cary, NC 27518-7404 2014-08-27
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City CARY
Zip Code 27518

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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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