DUKE UNIVERSITY (NPI# 1629269873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629269873 |
| Entity Type | Organization |
| Organization Name | DUKE UNIVERSITY |
| Practice Address |
5704 Fayetteville Rd Durham NC 27713-9089 |
| Mailing Address |
5438 Echo Ridge Rd Raleigh NC 27612-6949 |
| Practice Telephone | 6198072953 |
| Mailing Telephone | 6198072953 |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2007-08-05 |
| Authorized Official Name | DR. LARISA P GAVRILOVA-JORDAN (REF FELLOW PHYSICIAN) |
| Authorized Official Telephone | 6198072953 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | NC | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033621719 | Duke University | Preventive Medicine | 4825 Creekstone Drive, Suite 105, Durham, NC 27703 | 2017-11-02 |
| 1053664987 | Duke University | General Acute Care Hospital | 631 Windsong Ln, Durham, NC 27713-9169 | 2012-10-16 |
| 1982862637 | Duke University | General Acute Care Hospital | 300 Trent Drive, Duke University Medical Ctr, Durham, NC 27710-0001 | 2008-05-29 |
| 1306013552 | Duke University | General Acute Care Hospital | 2301 Erwin Road Emergeency Medicine Residency, Durham, NC 27710-0001 | 2008-05-15 |
| 1851451090 | Duke University | Pharmacy | Duke Clinic Trent Dr, Rm 00377, Durham, NC 27710-0001 | 2006-12-11 |
| 1407964174 | Duke University | Clinic/Center | 402 Trent Dr, Durham, NC 27710-0001 | 2006-08-25 |
| 1629516372 | Duke University | Special Hospital | 10207 Cerny St, Raleigh, NC 27617-4879 | 2017-02-02 |
| 1558781336 | Duke University | General Acute Care Hospital | 3400 Wake Forest Rd, Raleigh, NC 27609-7317 | 2014-04-21 |
| 1033495106 | Duke University | Clinic/Center | 201 Trent Dr, Sub-basement, Orange Zone, Durham, NC 27710-3037 | 2011-11-02 |
| 1215070826 | Duke University | Licensed Practical Nurse | 411 W Chapel Hill St Ste 908, Durham, NC 27701-3616 | 2007-02-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | DUKE UNIVERSITY | 2200 W Main St Ste 710, Durham, NC 27708-4677 |
| Oklahoma Business Registrations | DUKE UNIVERSITY | 1855 W Baselin Rd Ste 250, Mesa, AZ 85202 |
| Massachusetts Corporations | DUKE UNIVERSITY | Jordan Building, 502 Oregon St., Durham, NC 27706 |
| Oklahoma Business Registrations | DUKE UNIVERSITY HEALTH SYSTEM, INC. | C/o Duke University Copr. Tax, 324 Blackwell St., Washington Bldg, Ste 920, Durham, NC 27701 |
| System for Award Management (SAM) Entities | DUKE UNIVERSITY HOSPITAL | 2301 Erwin Rd, Durham, NC 27710-4699 |
| Street Address |
5704 FAYETTEVILLE RD |
| City | DURHAM |
| State | NC |
| Zip Code | 27713-9089 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033183314 | Karen Christine Baker | Urology | 5704 Fayetteville Rd, Durham, NC 27713-9089 | 2006-02-14 |
| 1801126537 | Private Diagnostic Clinic, Pllc | Obstetrics & Gynecology | 5704 Fayetteville Rd, Durham, NC 27713-9089 | 2009-12-31 |
| 1821119074 | Jennifer L Eaton | Obstetrics & Gynecology | 5704 Fayetteville Rd, Durham, NC 27713-9089 | 2007-04-03 |
| 1154405025 | David Walmer | Obstetrics & Gynecology | 5704 Fayetteville Rd, Durham, NC 27713-9089 | 2006-10-25 |
| 1790869683 | Thomas Price | Obstetrics & Gynecology | 5704 Fayetteville Rd, Duke Fertility Center, Durham, NC 27713-9089 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558977074 | Zoe Wellness | Clinic/Center | 5322 Nc 55, 102, Durham, NC 27713 | 2020-09-21 |
| 1194352542 | Mariah Davis | Counselor | 1822 East Hwy Nc 54, Suite 300, Durham, NC 27713 | 2020-03-25 |
| 1316589138 | Monarch | Community/Behavioral Health | 1513 Piperwood Court, Durham, NC 27713 | 2019-10-14 |
| 1205486081 | Lisa Mesmer Barnes | Nurse Practitioner | 5309hwy 55, Suite 105, Durham, NC 27713 | 2019-09-13 |
| 1497315352 | Mary Therese Wood | Social Worker | 1822 E Highway 54, Suite 300, Durham, NC 27713 | 2019-06-13 |
| 1720558307 | Kevin D Simmons | Counselor | 1822 Nc Hwy 54 Suite 300, Durham, NC 27713 | 2018-11-27 |
| 1790265585 | Kelli Cryer | Counselor | 54 E Nc Hwy 1822, Suite 300, Durham, NC 27713 | 2018-08-21 |
| 1477039253 | Mahavir Rx, LLC | Pharmacy | 6216 Fayetteville Rd Ste 105, Durham, NC 27713 | 2018-07-16 |
| 1811482862 | Tessa Taylor | Dentist | 2515 E Nc Highway 54 Ste 2000, Durham, NC 27713 | 2018-06-22 |
| 1013401579 | Emily Louise Haller | Counselor | 1822 E Hwy 54, Suite 300, Durham, NC 27713 | 2018-06-19 |
| Find all providers in zip 27713 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659989812 | Ryan Graham | Specialist | 405 Avett Dr, Durham, NC 27703-8291 | 2020-07-14 |
| 1083236996 | Latisha Isheema Buchanan | Specialist | 3215 Guess Rd Ste 101, Durham, NC 27705-2668 | 2020-05-13 |
| 1629549647 | Lashone M Blue | Specialist | 3315 Guess Rd Unit 9, Durham, NC 27705-6907 | 2018-12-17 |
| 1013443324 | Chakib Maurice Ayoub | Specialist | 3611 University Dr, Apt#06e, Durham, NC 27707-6209 | 2017-05-05 |
| 1194178855 | Shimin Jasmine Chung | Specialist | 2616 Erwin Rd Apt 2531, Durham, NC 27705-3895 | 2016-07-18 |
| 1669896858 | Ted Mulligan | Specialist | 4 Rocky Ln, Durham, NH 03824-1947 | 2014-02-10 |
| 1497017537 | North Carolina Center for Physical Therapy | Specialist | 5832 Fayetteville Road, Suite 106, Durham, NC 27713-6290 | 2012-06-14 |
| 1295006450 | Wayne Matthew Dankner | Specialist | 2520 Meridian Pkwy, Durham, NC 27713-4202 | 2012-01-19 |
| 1417266628 | Sharon M Fisher | Specialist | 2562 Durham Dayton Hwy, Apt A, Durham, CA 95938-9654 | 2010-10-05 |
| 1497088538 | Latosha Ward | Specialist | M04 Davison Bldg, Durham, NC 27710-0833 | 2009-09-08 |
| Find all providers in DURHAM | ||||
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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.