WAVERLY HEMATOLOGY ONCOLOGY PA (NPI# 1871658443) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871658443 |
| Entity Type | Organization |
| Organization Name | WAVERLY HEMATOLOGY ONCOLOGY PA |
| Practice Address |
300 Ashville Ave Suite 310 Cary NC 27518-8682 |
| Practice Telephone | 9192338585 |
| Practice Fax Number | 9192338566 |
| Mailing Telephone | 9192338585 |
| Mailing Fax Number | 9192338566 |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2008-10-02 |
| Authorized Official Name | MARK GRAHAM II (DIRECTOR) |
| Authorized Official Telephone | 9192338585 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
39812 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 89138AH | 05 | |
| NC | BLUE CROSS | 138AH | 01 |
| NC | PALMETTO GBA | P00403727 | 01 |
| Street Address |
300 ASHVILLE AVE SUITE 310 |
| City | CARY |
| State | NC |
| Zip Code | 27518-8682 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669470191 | Bruce Warren Usher Jr. | Internal Medicine | 300 Ashville Ave, 301, Cary, NC 27518-8682 | 2005-07-08 |
| 1265809487 | Rachael Lam Yuen | Social Worker | 300 Ashville Ave, Cary, NC 27518-8682 | 2015-08-24 |
| 1467845701 | Clarissa Anne Urban | Physician Assistant | 300 Ashville Ave, Suite 310, Cary, NC 27518-8682 | 2015-03-11 |
| 1265840169 | April Lenker | Nurse Practitioner | 300 Ashville Ave, Suite 301, Cary, NC 27518-8682 | 2014-07-24 |
| 1225444847 | Allison Gilboy Pereklita | Physician Assistant | 300 Ashville Ave, Suite 310, Cary, NC 27518-8682 | 2014-07-02 |
| 1245571132 | Vandna Chaudhary | Occupational Therapist | 300 Ashville Ave, Suite 220, Cary, NC 27518-8682 | 2013-03-03 |
| 1952607327 | Cancer Centers of North Carolina, PC | Radiology | 300 Ashville Ave, Ste. 110, Cary, NC 27518-8682 | 2011-02-02 |
| 1053615765 | Jaclyn Starritt | Psychologist | 300 Ashville Ave, Suite 240, Cary, NC 27518-8682 | 2011-01-10 |
| 1053542381 | Sheila A. Shine | Internal Medicine | 300 Ashville Ave, Ste 310, Cary, NC 27518-8682 | 2009-08-04 |
| 1619106309 | Ria Antoinette Battaglino | Psychiatry & Neurology | 300 Ashville Ave, Suite 240, Cary, NC 27518-8682 | 2009-07-02 |
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|---|---|---|---|---|
| 1932730801 | Fuller & Associates Iv, Pllc | Dentist | 3420 Ten-ten Road, Suite 310, Cary, NC 27518 | 2020-01-30 |
| 1649761602 | Uday N Reebye, Md. Dmd, Pa | Dentist | 431 Keisler Dr Ste 101, Cary, NC 27518 | 2018-05-25 |
| 1164912093 | Cary Dental Rejuvenation | Dentist | 155 Parkway Office Court, Suite 104, Cary, NC 27518 | 2018-05-16 |
| 1104337021 | Kaylah Mckinley Black | Nurse Practitioner | 530 New Waverly Pl Ste 301, Cary, NC 27518 | 2017-10-18 |
| 1013442961 | Amber Pinsky | Occupational Therapist | 5310 Woodfield Lake Road, Cary, NC 27518 | 2017-04-28 |
| 1750733564 | Maureen Lyons Reardon | Psychologist | 2500 Regency Parkway, Cary, NC 27518 | 2016-07-05 |
| 1730539651 | Anna Liakh | Dentist | 8204 Tryon Woods Dr, Cary, NC 27518 | 2016-06-21 |
| 1609236173 | Matthew John Myschisin II | Chiropractor | 4312 Farm Brook Dr, Cary, NC 27518 | 2016-02-26 |
| 1003299405 | Amanda Lee Morris | Social Worker | 531 Keisler Dr Ste 104, Cary, NC 27518 | 2015-07-02 |
| 1053791343 | Duke University Affiliated Physicians | Family Medicine | 530 Waverly Place, Suite 101, Cary, NC 27518 | 2015-06-02 |
| Find all providers in zip 27518 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548615347 | Premier Hematology & Tele-oncology Center, Pllc | Internal Medicine | 550 New Waverly Pl Ste 120, Cary, NC 27518-7412 | 2016-04-29 |
| 1821383951 | Ranjit Joseph | Internal Medicine | 150 Parkway Office Ct Ste 200, Cary, NC 27518 | 2011-06-16 |
| 1740460377 | Amit R Mehta | Internal Medicine | 550 New Waverly Place Suite 120, Cary, NC 27518-6679 | 2007-11-12 |
| 1871552760 | William C Waterfield | Internal Medicine | 1020 Southhill Dr, Ste 200, Cary, NC 27513-8629 | 2006-03-21 |
| 1023310471 | Cancer Centers of North Carolina PC | Internal Medicine | 216 Ashville Ave, Suite 20, Cary, NC 27518-6679 | 2010-11-17 |
| 1053542381 | Sheila A. Shine | Internal Medicine | 300 Ashville Ave, Ste 310, Cary, NC 27518-8682 | 2009-08-04 |
| 1245305598 | Suzanne L. Kirby | Internal Medicine | 300 Ashville Ave, Suite 310, Cary, NC 27518-8682 | 2006-11-22 |
| 1700976628 | Independent Hematology and Oncology Associates, P.a. | Internal Medicine | 300 Ashville Ave, Ste 310, Cary, NC 27518-8682 | 2006-10-13 |
| 1639118623 | Paramjeet Singh | Internal Medicine | 216 Ashville Ave, Cary, NC 27511-6679 | 2006-06-05 |
| 1790732378 | Maha A. Elkordy | Internal Medicine | 216 Ashville Ave, Cary, NC 27511-6679 | 2006-05-28 |
| 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.