DR. GARY OWEN BEAN (NPI# 1760452312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760452312 |
| Entity Type | Individual |
| Full Name | DR. GARY OWEN BEAN |
| Credential | M.D. |
| Practice Address |
4414 Lake Boone Trail Suite 502 Raleigh NC 27607-7514 |
| Practice Telephone | 9198750539 |
| Practice Fax Number | 9198751051 |
| Mailing Telephone | 9198750539 |
| Mailing Fax Number | 9198751051 |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 23998 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8914130 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093829327 | Gary E Bean | Pediatrics | 4180 Park Blvd, Oakland, CA 94602 | 2006-08-17 |
| Street Address |
4414 LAKE BOONE TRAIL SUITE 502 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27607-7514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649279613 | Mohit Pasi | Specialist | 4414 Lake Boone Trail, Suite 402, Raleigh, NC 27607-7520 | 2005-07-20 |
| 1477019107 | City of Oaks Midwifery | Obstetrics & Gynecology | 4414 Lake Boone Trail, Suite 405, Raleigh, NC 27607-7520 | 2019-02-19 |
| 1285035220 | Wilkerson Ob/gyn | Obstetrics & Gynecology | 4414 Lake Boone Trail, Suite 300, Raleigh, NC 27606-7520 | 2014-09-09 |
| 1710388764 | Mid Carolina Ob/gyn | Obstetrics & Gynecology | 4414 Lake Boone Trail, Suite 300, Raleigh, NC 27607-7514 | 2014-09-09 |
| 1841691888 | Capital Area Ob/gyn Associates | Obstetrics & Gynecology | 4414 Lake Boone Trail, Suite 308, Raleigh, NC 27607-7514 | 2014-09-09 |
| 1467673186 | Jennifer Ann Chancellor | Specialist | 4414 Lake Boone Trail, Suite 300, Raleigh, NC 27607 | 2007-05-01 |
| 1962530923 | Dawn Stanford Trollip | Obstetrics & Gynecology | 4414 Lake Boone Trail, Suite 405, Raleigh, NC 27607-7513 | 2007-03-01 |
| 1598848046 | Michael R March | Obstetrics & Gynecology | 4414 Lake Boone Trail, Suite 311, Raleigh, NC 27607 | 2006-10-20 |
| 1154373579 | Laura Herring Kelly | Pediatrics | 4414 Lake Boone Trail, Suite 103, Raleigh, NC 27607 | 2006-05-16 |
| 1063464485 | Robert Lawrence Munt Jr. | Pediatrics | 4414 Lake Boone Trail, Suite 103, Raleigh, NC 27607 | 2006-05-16 |
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| 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 |
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| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053938894 | American Ecare Telehealth Pllc | Family Medicine | 5312 Pomfret Pt, Raleigh, NC 27612-3683 | 2020-06-27 |
| 1093339368 | Nc Telehealth, Pllc | Family Medicine | 1030 N Rogers Ln Ste 121, Raleigh, NC 27610-6083 | 2020-06-02 |
| 1427680917 | Peter Mcilwaine | Family Medicine | 2605 Blue Ridge Rd Ste 300, Raleigh, NC 27607-6475 | 2020-02-12 |
| 1104483387 | Rebecca Jeffries Cloer | Family Medicine | 8331 Bandford Way Ste 101, Raleigh, NC 27615-2765 | 2019-05-23 |
| 1154888154 | Wwc Medical Pllc | Family Medicine | 7800 Falls of Neuse Rd, #99511, Raleigh, NC 27615-9998 | 2019-02-26 |
| 1932683166 | Good Health Urgent & Primary Care Pllc | Family Medicine | 3716 National Dr Ste 208, Raleigh, NC 27612-4863 | 2018-09-24 |
| 1124501085 | Select Medical Services Pllc | Family Medicine | 10931 Raven Ridge Rd Ste 115, Raleigh, NC 27614-6499 | 2018-09-07 |
| 1215419379 | Patrick Orion Finn | Family Medicine | 10010 Falls of The Neuse Rd, Suite 11, Raleigh, NC 27614 | 2018-09-05 |
| 1740768225 | Iam Healthcare, Pllc | Family Medicine | 5509 Cumberland Plain Dr, Raleigh, NC 27616 | 2018-08-06 |
| 1265963938 | David James Mcmullen | Family Medicine | 3320 Executive Dr Ste 214, Raleigh, NC 27609-7489 | 2017-03-24 |
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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.