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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 200100941 | NC | Allopathic & Osteopathic Physicians |
| Street Address |
10208 CERNY ST SUITE 210 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27617-7884 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 27617 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| 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. |
| 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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| 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.