AVANCE CARE PA (NPI# 1659758316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659758316 |
| Entity Type | Organization |
| Organization Name | AVANCE CARE PA |
| Other Organization Name | AVANCE CARE CARY |
| Practice Address |
115 Crescent Commons Dr Suite 100 Cary NC 27518-8102 |
| Mailing Address |
5626 Oberlin Dr Suite 110 San Diego CA 92121-1705 |
| Practice Telephone | 9196551000 |
| Enumeration Date | 2015-05-01 |
| Last Update Date | 2015-05-01 |
| Authorized Official Name | KENNY HEINE (VP OF OPERATIONS) |
| Authorized Official Telephone | 8589641506 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEDVANTX, INC. |
| Parent Organization TIN |
|
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | 2012-00002 | NC | Suppliers |
| Other Name | Type Code |
|---|---|
| Avance Care Cary | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346671732 | Avance Care Pa | Non-Pharmacy Dispensing Site | 7510 Ramble Way, Suite 107, Raleigh, NC 27616-4305 | 2013-12-10 |
| Street Address |
115 CRESCENT COMMONS DR SUITE 100 |
| City | CARY |
| State | NC |
| Zip Code | 27518-8102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073572673 | Cheryl A. Beauman | Physician Assistant | 115 Crescent Commons Dr, Suite 200, Cary, NC 27518-8102 | 2006-03-22 |
| 1720403694 | Tamra Cheek | Physician Assistant | 115 Crescent Commons Dr, Suite 200, Cary, NC 27518-8102 | 2014-02-28 |
| 1093045494 | Jacobs and Van Cleeff Internal Medicine, PC | Internal Medicine | 115 Crescent Commons Dr, Suite 250, Cary, NC 27518 | 2010-01-06 |
| 1710029152 | Cary Family Healthcare, Pa | Family Medicine | 115 Crescent Commons Dr, Suite # 100, Cary, NC 27518-8102 | 2007-02-13 |
| 1003968686 | Triangle Surgical Associates, P.a. | Surgery | 115 Crescent Commons Dr, Suite 200, Cary, NC 27518-8102 | 2007-01-17 |
| 1932259009 | Victor A. Medina | Surgery | 115 Crescent Commons Dr, Suite 200, Cary, NC 27518-8102 | 2007-01-11 |
| 1679520969 | Susan Howard Catchings | Family Medicine | 115 Crescent Commons Dr, Suite 100, Cary, NC 27518-8102 | 2006-05-30 |
| 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 | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669884094 | Carolina Partners In Mental | Non-Pharmacy Dispensing Site | 790 Se Cary Pkwy, Cary, NC 27511-5678 | 2014-05-20 |
| 1083959068 | Urgent Cares of America North Carolina Inc | Non-Pharmacy Dispensing Site | 3420 Ten Ten Rd, 318, Cary, NC 27518-6100 | 2012-12-03 |
| 1073858122 | Urgent Cares of America North Carolina Inc | Non-Pharmacy Dispensing Site | 100 Cornerstone Dr, Cary, NC 27519-8453 | 2012-11-30 |
| 1811209901 | Western Wake Internal Medicine | Non-Pharmacy Dispensing Site | 907 Kildaire Farm Rd, Cary, NC 27511-3922 | 2010-07-06 |
| 1962720185 | Internal Medicine and Pediatrics Association | Non-Pharmacy Dispensing Site | 224 High House Rd, 100, Cary, NC 27513-4278 | 2010-05-12 |
| 1356575047 | Schmidt and Catchings Family Practice | Non-Pharmacy Dispensing Site | 600 New Waverly Pl, Suite 205, Cary, NC 27518-7404 | 2009-05-08 |
| 1255578415 | Cary Cardiology Associates | Non-Pharmacy Dispensing Site | 300 Keisler Dr, 200, Cary, NC 27518-7083 | 2009-01-09 |
| 1235279522 | Crescent Family Practice, P.a. | Non-Pharmacy Dispensing Site | 1000 Crescent Green Dr, Suite 202, Cary, NC 27511-8116 | 2007-02-07 |
| 1659411635 | Wellness Family Practice, P.a. | Non-Pharmacy Dispensing Site | 570 New Waverly Pl, 130, Cary, NC 27511-7405 | 2007-02-07 |
| 1154461127 | David Paul Adams, M.d., P.a. | Non-Pharmacy Dispensing Site | 218 Ashville Ave, Suite 20, Cary, NC 27511-6118 | 2007-02-07 |
| 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.