LS OF RALEIGH


Address: 10208 Cerny St, Suite 210, Raleigh, NC 27617-7884
Phone: 9194570340

LS OF RALEIGH (NPI# 1750688438) 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) 1750688438
Entity Type Organization
Organization Name LS OF RALEIGH
Practice Address 10208 Cerny St
Suite 210
Raleigh
NC 27617-7884
Practice Telephone 9194570340
Practice Fax Number 9198062123
Enumeration Date 2011-02-16
Last Update Date 2011-02-16
Authorized Official Name KRISTEN SPADUZZI (DIRECTOR OF CENTER OPERATIONS)
Authorized Official Telephone 9194570340
Is Organization Subpart Y
Parent Organization Name THE PREVENTION GROUP

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 200100941 NC Allopathic & Osteopathic Physicians

Office Location

Street Address 10208 CERNY ST
SUITE 210
City RALEIGH
State NC
Zip Code 27617-7884

Providers in the same location

NPI Name Taxonomy Address Enumeration
1962498832 Amy Schafer Erickson Family Medicine 10208 Cerny St, Suite 206, Raleigh, NC 27617-7884 2005-09-26
1144767260 Associated Urologists of North Carolina, Pa Urology 10208 Cerny St, Suite 202, Raleigh, NC 27617-7884 2017-01-26
1508318114 Sentinel Primary Care Clinic/Center 10208 Cerny St, Suite 308, Raleigh, NC 27617-7884 2016-10-30
1245595214 Atlantic Reproductive Medicine Specialists Obstetrics & Gynecology 10208 Cerny St, 306, Raleigh, NC 27617-7884 2012-07-05
1396974309 Nikhil Jariwala Internal Medicine 10208 Cerny St, Suite 106, Raleigh, NC 27617-7884 2009-07-11
1255569521 Raleigh Ear, Nose, and Throat, Head and Neck Surgery, Inc Otolaryngology 10208 Cerny St, Suite 300, Raleigh, NC 27617-7884 2009-06-25
1912168667 Nash Allergy and Asthma, P.C. Allergy & Immunology 10208 Cerny St, Suite 308, Raleigh, NC 27617-7884 2008-06-24
1083891089 Venkat Rama Krishna Rao Neelagiri Family Medicine 10208 Cerny St, Suite 110, Raleigh, NC 27617-7884 2008-01-22
1023209491 Scott David Nash Allergy & Immunology 10208 Cerny St, Suite 308, Raleigh, NC 27617-7884 2007-08-09
1659579647 Keenon Johnson Dentist 10208 Cerny St, Suite 304, Raleigh, NC 27617-7884 2007-07-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1285243808 Maja V Martin Dds Pa II Clinic/Center 4203 Corners Pkwy, Ste 100, Raleigh, NC 27617 2020-07-29
1568006310 Aubrey Nicole Stephenson Dietitian, Registered 8801 Fast Park Dr Suite 211, Raleigh, NC 27617 2019-11-05
1982114567 Method Manual Physical Therapy and Wellness LLC Physical Therapist 9244 Miranda Drive, Raleigh, NC 27617 2017-10-09
1588182539 Aqsa Salman Counselor 11736 Dellcain Court, Raleigh, NC 27617 2017-08-30
1962942326 Harris Teeter LLC Durable Medical Equipment & Medical Supplies 10440 Glenwood, Durham, NC 27617 2017-03-06
1457896037 Emergeortho Pa Durable Medical Equipment & Medical Supplies 7850 Brier Creek Parkway, Suites 200, Raleigh, NC 27617 2017-01-05
1033667621 Hillary Houghton Nurse Practitioner 10211 Alm St # 210, Raleigh, NC 27617 2016-09-13
1821449406 John William Langel Optometrist 8851 Ellstree Ln Ste 200, Raleigh, NC 27617 2016-06-24
1821457789 Acariahealth Pharmacy, Inc. Durable Medical Equipment & Medical Supplies 7231 Acc Blvd Ste 103, Raleigh, NC 27617 2016-02-19
1033583760 America Alisha Allen Social Worker 8610 Brittdale Lane, Apt 307, Raleigh, NC 27617 2015-11-18
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053921874 Wake Specialty Phisicians, LLC Internal Medicine 601 Oberlin Rd, Raleigh, NC 27605-1126 2020-08-06
1255825840 Frederick Joseph Derosier Internal Medicine 1065 Tacketts Pond Dr, Raleigh, NC 27614-7887 2018-06-18
1023518412 Neijia Grissom Internal Medicine 3214 Charles B Root Wynd Ste 213, Raleigh, NC 27612-5440 2018-02-13
1326406703 Andrew Ubert Schindzielorz Internal Medicine 5300 Huntingwood Dr, Raleigh, NC 27606-9642 2016-02-01
1841680220 Oswald H Ganley Internal Medicine 1251 Goode St, The Healing Place of Wake County, Raleigh, NC 27603 2015-01-23
1659775831 Caremore Health Nc, PC Internal Medicine 1100 N Raleigh Blvd, Raleigh, NC 27610-1076 2014-10-16
1295147577 Courtney Barrett Internal Medicine 6729 Falls of Neuse Rd Ste 100, Raleigh, NC 27615-5383 2014-05-21
1821357815 Vanitha Gopal Internal Medicine 370 Allister Dr Unit 406, Raleigh, NC 27609-7269 2012-05-10
1093072498 The Carter Clinic,pa Internal Medicine 183 Wind Chime Ct Ste 100, Raleigh, NC 27615-6574 2012-04-23
1497025076 George Stueard Nettles Sr. Internal Medicine 11192 Bayberry Hills Dr, Raleigh, NC 27617-7908 2012-01-12
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City RALEIGH
Zip Code 27617

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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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