WAKE PET LLC (NPI# 1770182933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770182933 |
Entity Type | Organization |
Organization Name | WAKE PET LLC |
Practice Address |
210 Ashevill Avenue Suite 100 Cary NC 27618 |
Practice Telephone | 9193508000 |
Enumeration Date | 2020-10-20 |
Last Update Date | 2020-10-21 |
Authorized Official Name | STEPHANIE SESSOMS (VP OF FINANCE) |
Authorized Official Telephone | 9193500522 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
Allopathic & Osteopathic Physicians | ||
Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
Street Address |
210 ASHEVILL AVENUE SUITE 100 |
City | CARY |
State | NC |
Zip Code | 27618 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801496757 | North Carolina Physical Therapy | Clinic/Center | 223 E Chatham St Ste 101, Cary, NC 27511-3475 | 2020-10-29 |
1366042244 | University of North Carolina At Chapel Hill | Orthopaedic Surgery | 6715 Mccrimmon Pkwy Ste 205a, Cary, NC 27519-1916 | 2020-10-29 |
1659970770 | Survivor Friendly LLC | Prosthetic/Orthotic Supplier | 527 Keisler Dr Ste 104, Cary, NC 27518-9306 | 2020-10-20 |
1053918961 | Tiana C Lanier-cherry | Marriage & Family Therapist | 628 Preston Grove Ave, Cary, NC 27513-8464 | 2020-10-04 |
1801403076 | Iryna Vasilij Baumgartl | Nurse Practitioner | 8212 Ovation Dr, Cary, NC 27513-2644 | 2020-09-30 |
1477160950 | Michaela Juliana | Occupational Therapist | 104 Ripley Ct, Cary, NC 27513-5121 | 2020-09-28 |
1063029098 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 2370 Walnut St, Cary, NC 27518-9210 | 2020-09-24 |
1336755057 | Holly Springs Ob/gyn, P.a. | Obstetrics & Gynecology | 104 Conway Ct, Cary, NC 27513-9400 | 2020-09-17 |
1225644024 | Tory Hall | Chiropractor | 8424 Ovation Dr, Cary, NC 27513-2646 | 2020-09-17 |
1912512997 | Sheri Mitten | Pharmacist | 202 Swordgate Dr, Cary, NC 27513-1630 | 2020-09-15 |
Find all providers in CARY |
Taxonomy Code | 2085R0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Diagnostic Radiology |
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568023190 | Bay Imaging Consultants Medical Group Inc | Radiology | 1226 Brickfield Dr., Cary, NC 27519 | 2019-06-25 |
1578796223 | North Carolina Telerad LLC | Radiology | 112 Bighorn Cir, Cary, NC 27513-4849 | 2009-08-28 |
1710991880 | Bertrand W Schlam | Radiology | 301 Greyfriars Ln, Cary, NC 27518-8642 | 2006-07-27 |
1871513234 | Stephen P Loehr | Radiology | 2501 Weston Pkwy, Cary, NC 27513-5598 | 2006-07-20 |
1316904790 | Cynthia Caskey Oberfelder | Radiology | 104 Beech Slope Way, Cary, NC 27518-8995 | 2006-04-28 |
1306202296 | Flexogenix North Carolina PC | Radiology | 400 Ashville Ave, Suite 330, Cary, NC 27518-6134 | 2016-01-07 |
1780097618 | Duke University Health System Inc | Radiology | 3700 Nw Cary Pkwy, Suite 120 Room 120, Cary, NC 27513-8446 | 2014-06-09 |
1750701082 | Duke University Health System, Inc. | Radiology | 3700 Nw Cary Pkwy, Suite 120 Room 110, Cary, NC 27513-8446 | 2014-04-25 |
1578993556 | Flexogenix, Inc. | Radiology | 930 Se Cary Pkwy, Suite 100, Cary, NC 27518-7419 | 2013-11-12 |
1639310295 | Cape Fear Diagnostic Imaging LLC | Radiology | 3700 Nw Cary Pkwy, Suite 120, Cary, NC 27513-8446 | 2009-03-11 |
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.