WAKE MEDICAL ASSOCIATES, P.A. (NPI# 1720192651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720192651 |
| Entity Type | Organization |
| Organization Name | WAKE MEDICAL ASSOCIATES, P.A. |
| Practice Address |
4505 Fair Meadows Ln Raleigh NC 27607-6465 |
| Mailing Address |
Po Box 30696 Greenville NC 27833-0696 |
| Practice Telephone | 9195714391 |
| Practice Fax Number | 9195718968 |
| Mailing Telephone | 2523537162 |
| Mailing Fax Number | 2523531760 |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. MARCUS W GILLIKIN (CONSULTANT) |
| Authorized Official Telephone | 2523537162 |
| Authorized Official Credential | MD, MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
31614 | NC | Allopathic & Osteopathic Physicians |
| Street Address |
4505 FAIR MEADOWS LN |
| City | RALEIGH |
| State | NC |
| Zip Code | 27607-6465 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386636702 | Gail Loretta Lieblang | Nurse Practitioner | 4505 Fair Meadows Ln, Blue Ridge Plaza Suite 204 (unc Clinical Research ), Raleigh, NC 27607-6465 | 2005-08-22 |
| 1154953875 | Kristine Jeter | Nurse Practitioner | 4505 Fair Meadows Ln, Raleigh, NC 27607-6465 | 2020-02-11 |
| 1063937415 | Jill C Vanarthos | Physician Assistant | 4505 Fair Meadows Ln, Raleigh, NC 27607-6465 | 2017-08-07 |
| 1689107039 | Wendy Krull | Social Worker | 4505 Fair Meadows Ln, Raleigh, NC 27607-6465 | 2017-04-04 |
| 1891226858 | Best Day Psychiatry and Counseling, PC | Psychiatry & Neurology | 4505 Fair Meadows Ln, Suite 102, Raleigh, NC 27607-6465 | 2017-03-22 |
| 1558742692 | Monique Link | Psychologist | 4505 Fair Meadows Ln, Suite 106, Raleigh, NC 27607 | 2015-06-15 |
| 1205216181 | Psychological Services of Cindy C. Cottle, Pllc | Psychologist | 4505 Fair Meadows Ln, Ste 106, Raleigh, NC 27607-6465 | 2015-06-04 |
| 1790054500 | Deanna L Towns | Counselor | 4505 Fair Meadows Ln, Suite 211, Raleigh, NC 27607-6465 | 2011-12-22 |
| 1003024928 | Henry H Hancock IIi Dds Ms Pa | Dentist | 4505 Fair Meadows Ln, Suite 220, Raleigh, NC 27607-6465 | 2007-05-21 |
| 1801000252 | William George Bixler | Psychologist | 4505 Fair Meadows Ln, Suite 106, Raleigh, NC 27607-6465 | 2007-05-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972093144 | Kyndra Lawson | Behavior Technician | 5121 Kingdom Way, Suite 100, Raleigh, NC 27607 | 2018-05-14 |
| 1578082905 | Margaret Roberts Bova | Dietitian, Registered | 4207 Lake Boone Trail, Suite 210, Raleigh, NC 27607 | 2017-09-18 |
| 1184141897 | Chricat Garrard | Nurse Practitioner | 4207 Lake Boone Trl Ste 200, Raleigh, NC 27607 | 2017-08-23 |
| 1487178620 | John Patrick Morton | Pharmacist | 2411 Landmark Dr, Raleigh, NC 27607 | 2017-07-31 |
| 1023538857 | Heather Margaret Mazzola | Audiologist | 7800 Lake Boone Trail, 100, Raleigh, NC 27607 | 2017-06-22 |
| 1790216984 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2411 Landmark Drive, Raleigh, NC 27607 | 2017-03-21 |
| 1558819516 | Corilin Nocito Meggitt | Nurse Practitioner | 4505 Fair Meadows Ln Ste 102, Raleigh, NC 27607 | 2016-09-19 |
| 1942757034 | Stacie Walker | Obstetrics & Gynecology | 4414 Lake Boone Trl Ste 311, Raleigh, NC 27607 | 2016-09-06 |
| 1831644533 | Alisa Smajlagic Howe | Nurse Practitioner | 4210 Lake Boone Trail, Rex Rehab & Nursing Center, Raleigh, NC 27607 | 2016-08-23 |
| 1235598632 | Yoseph Saleh | Dentist | 107 Minden Ln, Raleigh, NC 27607 | 2016-02-15 |
| Find all providers in zip 27607 | ||||
| Taxonomy Code | 2083P0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Public Health & General Preventive Medicine |
| Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. |
| 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 Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467696807 | Thomas Warden Morris | Preventive Medicine | 514 Daniels St, Suite 187, Raleigh, NC 27605-1317 | 2009-04-29 |
| 1922246065 | Peter Delaney Morris | Preventive Medicine | 2020 Yonkers Rd, Raleigh, NC 27699-0001 | 2009-01-28 |
| 1588225759 | Wakemed Specialists Group, LLC | Preventive Medicine | 3024 New Bern Ave, Raleigh, NC 27610-1247 | 2019-06-27 |
| 1003159617 | Bio-lifecycle Medical Centers, Pllc | Preventive Medicine | 4201 Lake Boone Trl, Ste 005, Raleigh, NC 27607-7512 | 2013-04-02 |
| 1164536363 | John C Pittman | Preventive Medicine | 4505 Fair Meadows Ln, Raleigh, NC 27607-6465 | 2006-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629445325 | Tonya Blache | Preventive Medicine | 1117 Chilmark Ave, Wake Forest, NC 27587-5334 | 2015-08-28 |
| 1366821191 | Health Hero Usa LLC | Preventive Medicine | 7845 Colony Rd, Suite C4 #262, Charlotte, NC 28226-7681 | 2015-05-26 |
| 1114196920 | Dianne Seaman Mathews | Preventive Medicine | 7601 Radin Rd, Clinic, Waxhaw, NC 28173-9158 | 2008-02-26 |
| 1891981247 | Charles Timothy Monroe | Preventive Medicine | 799 N Highland Ave, Winston Salem, NC 27102-0686 | 2007-09-19 |
| 1629283718 | Sharon Lee Norling | Preventive Medicine | 1507 Haywood Rd Ste E, Hendersonville, NC 28791-2333 | 2007-05-11 |
| 1982652558 | John Thomas Ashley | Preventive Medicine | 81 Horizon Hill Rd, Asheville, NC 28804-2429 | 2006-05-05 |
| 1679530752 | David F. Ward | Preventive Medicine | 35 W Jordan St, Brevard, NC 28712-3675 | 2006-05-01 |
| 1558833947 | Asha Garg Stern | Preventive Medicine | 16507 Northcross Dr Ste F, Huntersville, NC 28078-5082 | 2018-12-22 |
| 1053899849 | Deborah Shipley Porterfield | Preventive Medicine | 590 Manning Dr, Chapel Hill, NC 27599-7595 | 2018-08-02 |
| 1548769656 | Bowden Enterprise Services, LLC | Preventive Medicine | 7341 Windy Ct W, Bailey, NC 27807-8953 | 2018-02-04 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on WAKE MEDICAL ASSOCIATES, P.A..
| 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.