PAVLO I NETREBKO (NPI# 1629240395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629240395 |
| Entity Type | Individual |
| Full Name | PAVLO I NETREBKO |
| Credential | M.D. |
| Practice Address |
300 Keisler Dr Suite 204 Cary NC 27518-7083 |
| Practice Telephone | 9192330059 |
| Practice Fax Number | 9192330343 |
| Mailing Telephone | 9192330059 |
| Mailing Fax Number | 9192330343 |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2018-02-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MD431773 | PA | Allopathic & Osteopathic Physicians |
| Y | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
MD431773 | PA | Allopathic & Osteopathic Physicians |
| Street Address |
300 KEISLER DR SUITE 204 |
| City | CARY |
| State | NC |
| Zip Code | 27518-7083 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679561369 | Priyavadan Maneklal Shah | Internal Medicine | 300 Keisler Dr, Suite 204, Cary, NC 27511-7083 | 2005-10-07 |
| 1073121265 | Laiby Boban | Nurse Practitioner | 300 Keisler Dr, Cary, NC 27518-7083 | 2020-07-14 |
| 1811522089 | Wakemed Specialists Group LLC | Internal Medicine | 300 Keisler Dr, Cary, NC 27518-7083 | 2020-03-09 |
| 1104200815 | Heather Santori | Nurse Practitioner | 300 Keisler Dr, Cary, NC 27518-7083 | 2015-07-13 |
| 1558772574 | Wake Specialty Physicians,llc | Internal Medicine | 300 Keisler Dr, Cary, NC 27518-7083 | 2014-05-13 |
| 1891130415 | Sarah Willis Tiesing | Nurse Practitioner | 300 Keisler Dr, Suite 204, Cary, NC 27518-7083 | 2013-05-09 |
| 1053559641 | Michelle Lyn Kuerbitz | Nurse Practitioner | 300 Keisler Dr, Suite 204, Cary, NC 27518-7083 | 2009-02-04 |
| 1255578415 | Cary Cardiology Associates | Non-Pharmacy Dispensing Site | 300 Keisler Dr, 200, Cary, NC 27518-7083 | 2009-01-09 |
| 1316101876 | Wake Plastic Surgery, Pllc | Clinic/Center | 300 Keisler Dr, Suite 102, Cary, NC 27518-7083 | 2008-07-14 |
| 1477734077 | William Todd Stoeckel | Plastic Surgery | 300 Keisler Dr, Suite 102, Cary, NC 27518-7083 | 2007-11-25 |
| Find all providers in the same location | ||||
| 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 | 207RC0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Clinical Cardiac Electrophysiology |
| A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316120017 | Anil K Gehi | Internal Medicine | 6025 Burnett Womack Bldg Cb 7075, 160 Dental Circle, Chapel Hill, NC 27599-7075 | 2007-12-17 |
| 1114076395 | David W Frazier | Internal Medicine | 2340 Hemby Lane, Suite 100, Greenville, NC 27834 | 2007-01-09 |
| 1275557571 | Sherry Saxonhouse | Internal Medicine | 307 Yadkin St, Albemarle, NC 28001-3441 | 2006-07-27 |
| 1720042013 | Angela M Park | Internal Medicine | 1001 Newman Rd, New Bern, NC 28562-5253 | 2006-04-13 |
| 1588624217 | Hemantkumar Patel | Internal Medicine | 800 Jefferson St, Ste 112, Whiteville, NC 28472-3710 | 2006-03-25 |
| 1922009935 | Sanjay Prasher | Internal Medicine | 2301 Robeson St, Suite 301, Fayetteville, NC 28305-5640 | 2005-08-02 |
| 1154320307 | John Mark Englehardt | Internal Medicine | 3324 Six Forks Rd, Raleigh, NC 27609-7233 | 2005-07-19 |
| 1801495387 | Gillian Grace Winter | Internal Medicine | 1 Medical Center Blvd, Winston Salem, NC 27157-0001 | 2020-10-26 |
| 1063077436 | Wakemed Specialists Group, LLC | Internal Medicine | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2019-05-01 |
| 1780076000 | Wake Specialty Physicians LLC | Internal Medicine | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2015-02-24 |
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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.