RALEIGH DURHAM MEDICAL GROUP (NPI# 1821338195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821338195 |
| Entity Type | Organization |
| Organization Name | RALEIGH DURHAM MEDICAL GROUP |
| Other Organization Name | NEUSE VALLEY INTERNAL MEDICINE |
| Practice Address |
701 Exposition Pl Suite 208 Raleigh NC 27615-3300 |
| Mailing Address |
5626 Oberlin Dr Suite 110 San Diego CA 92121-1705 |
| Practice Telephone | 9197912900 |
| Enumeration Date | 2013-02-25 |
| Last Update Date | 2013-02-25 |
| Authorized Official Name | KENNY HEINE (VP OPS) |
| Authorized Official Telephone | 8589641506 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEDVANTX, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | 940116 | NC | Suppliers |
| Other Name | Type Code |
|---|---|
| NEUSE VALLEY INTERNAL MEDICINE | Doing Business As Name - Organization |
| Street Address |
701 EXPOSITION PL SUITE 208 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27615-3300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407834278 | Lori Diane Peele | Family Medicine | 701 Exposition Pl, Ste 218, Raleigh, NC 27615-3300 | 2006-01-03 |
| 1417313602 | Neuse Valley Internal Medicine, Pllc | Internal Medicine | 701 Exposition Pl, Suite 218, Raleigh, NC 27615-3300 | 2016-01-05 |
| 1982039103 | Alicia May Frei | Nurse Practitioner | 701 Exposition Pl, Suite 218, Raleigh, NC 27615-3300 | 2013-09-06 |
| 1437494739 | Laura K Jozewicz Md Pa | Psychiatry & Neurology | 701 Exposition Pl, Suite 106, Raleigh, NC 27615-3300 | 2012-11-28 |
| 1629331673 | Sukaina Ahmad | Internal Medicine | 701 Exposition Pl, Ste 218, Raleigh, NC 27615-3300 | 2012-06-23 |
| 1992019525 | Novant Medical Group, Inc. | Internal Medicine | 701 Exposition Pl, Suite 218, Raleigh, NC 27615-3300 | 2010-08-06 |
| 1073668224 | Raleigh Durham Medical Group Pa | Internal Medicine | 701 Exposition Pl, Ste 218, Raleigh, NC 27615-3300 | 2007-01-25 |
| 1659336725 | Laura Kolarz-jozewicz | Psychiatry & Neurology | 701 Exposition Pl, Suite 106, Raleigh, NC 27615-3300 | 2006-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588278535 | Emily Grace Johnson | Behavior Technician | 119 Wind Chime Court, Suite 4, Raleigh, NC 27615 | 2020-09-06 |
| 1730706110 | Maja V Martin, Dds, Pa1 | Clinic/Center | 7371 Six Forks Road, Raleigh, NC 27615 | 2020-07-01 |
| 1972146967 | Atlantic Avenue Pharmaceutical, Inc | Pharmacy | 5621 Atlantic Ave, Suite 103, Raleigh, NC 27615 | 2019-10-22 |
| 1023503950 | Siyara Shannay Dobbs | Social Worker | 7013 Woodbend Dr Apt H, Raleigh, NC 27615 | 2018-06-23 |
| 1194210153 | Brittanie Ja'nell Harris | Dentist | 1911 Falls Valley Dr Ste 107, Raleigh, NC 27615 | 2018-06-22 |
| 1710489448 | Sherise Swensen | Social Worker | 8368 Six Forks Road, Suite 101, Raleigh, NC 27615 | 2018-03-08 |
| 1881100345 | Casey Paul Baine | Counselor | 6330 Falls of Neuse Rd Ste 104, Raleigh, NC 27615 | 2017-12-20 |
| 1588177885 | Michael Lacidonia | Acupuncturist | 6400 Falls of Neuse Rd Ste 200, Raleigh, NC 27615 | 2017-11-08 |
| 1457877631 | Matt Henderson | Behavioral Analyst | 8374 Six Forks Road, Suite 101, Raleigh, NC 27615 | 2017-08-18 |
| 1760907646 | Shakeda Muldrow | Social Worker | 7323 Brookbank Lane, Raleigh, NC 27615 | 2017-08-11 |
| Find all providers in zip 27615 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033589072 | Urgent Cares of America North Carolina Inc | Non-Pharmacy Dispensing Site | 6010 Glenwood Ave, Raleigh, NC 27612-2602 | 2015-10-02 |
| 1952867095 | Associated Urologists of North Carolina Pa | Non-Pharmacy Dispensing Site | 3821 Ed Dr, Raleigh, NC 27612-8038 | 2019-02-13 |
| 1710331640 | Raleigh Durham Medical Group Pa | Non-Pharmacy Dispensing Site | 8020 Creedmoor Rd, Raleigh, NC 27613-4363 | 2016-04-18 |
| 1841600749 | Med One Medical Group | Non-Pharmacy Dispensing Site | 7019 Harps Mill Rd, Suite 200, Raleigh, NC 27615-3248 | 2014-04-30 |
| 1861810715 | Carolina Partners In Mental | Non-Pharmacy Dispensing Site | 1055 Dresser Ct, Raleigh, NC 27609-7323 | 2014-03-28 |
| 1346671732 | Avance Care Pa | Non-Pharmacy Dispensing Site | 7510 Ramble Way, Suite 107, Raleigh, NC 27616-4305 | 2013-12-10 |
| 1982949947 | Urgent Cares of America North Carolina Inc. | Non-Pharmacy Dispensing Site | 1311 E Millbrook Rd, Raleigh, NC 27609-5473 | 2012-12-03 |
| 1053656025 | Urgent Cares of America North Carolina Inc | Non-Pharmacy Dispensing Site | 6500 Creedmoor Rd, 110, Raleigh, NC 27613-3697 | 2012-12-03 |
| 1942581947 | Avance Care P.a. | Non-Pharmacy Dispensing Site | 12341 Strickland Rd, 102, Raleigh, NC 27613 | 2011-09-02 |
| 1578889812 | Falls Pointe Medical Group | Non-Pharmacy Dispensing Site | 10010 Falls of Neuse Rd, 103, Raleigh, NC 27614-8494 | 2010-04-12 |
| Find all providers in RALEIGH | ||||
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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.