WAKE EMERGENCY PHYSICIANS PA (NPI# 1922063387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922063387 |
| Entity Type | Organization |
| Organization Name | WAKE EMERGENCY PHYSICIANS PA |
| Practice Address |
3000 New Bern Ave Raleigh NC 27610 |
| Mailing Address |
Po Box 890053 Charlotte NC 28289-0053 |
| Practice Telephone | 8432373378 |
| Practice Fax Number | 8432375073 |
| Mailing Telephone | 8432373378 |
| Mailing Fax Number | 8432375073 |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2018-05-24 |
| Authorized Official Name | DR. JENNIFER RALEY (ADMINISTRATOR) |
| Authorized Official Telephone | 9198593373 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BLUE CROSS BLUE SHIELD | 0295F | 01 |
| NC | 890295F | 05 | |
| NC | RAILROAD MEDICARE | CD5224 | 01 |
| SC | QPA119 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225268238 | Wake Emergency Physicians Pa | Emergency Medicine | 2138 Highway 42 West, Clayton, NC 27520 | 2009-07-24 |
| 1033770292 | Wake Emergency Physicians Pa | Emergency Medicine | 2460 Curtis Ellis Dr, Rocky Mount, NC 27804-2237 | 2019-06-27 |
| 1174086441 | Wake Emergency Physicians Pa | Emergency Medicine | 509 N Brightleaf Blvd, Smithfield, NC 27577-4407 | 2019-04-12 |
| 1265923205 | Wake Emergency Physicians Pa | Emergency Medicine | 210 Towne Village Dr, Cary, NC 27513-8910 | 2018-05-25 |
| 1235562067 | Wake Emergency Physicians Pa | Emergency Medicine | 400 Us 70 Hwy E, Garner, NC 27529 | 2013-08-15 |
| 1972842839 | Wake Emergency Physicians Pa | Emergency Medicine | 1010 College St, Oxford, NC 27565 | 2013-02-12 |
| 1699044669 | Wake Emergency Physicians Pa | Emergency Medicine | 8001 T W Alexander Dr, Raleigh, NC 27617 | 2011-12-21 |
| 1043492853 | Wake Emergency Physicians Pa | Emergency Medicine | 120 Healthplex Way, Apex, NC 27502 | 2007-12-04 |
| 1912071903 | Wake Emergency Physicians Pa | Emergency Medicine | 10000 Falls of Neuse Rd, Raleigh, NC 27614 | 2006-11-20 |
| 1043251960 | Wake Emergency Physicians Pa | Emergency Medicine | 1900 Kildaire Farm Rd, Cary, NC 27518 | 2006-06-10 |
| Street Address |
3000 NEW BERN AVE |
| City | RALEIGH |
| State | NC |
| Zip Code | 27610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972508661 | George Rayburn Cheely | Internal Medicine | 3000 New Bern Ave, Ste 1200, Raleigh, NC 27610-1231 | 2005-06-17 |
| 1811507700 | Erika Barbosa Richard | Registered Nurse | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2020-08-05 |
| 1790395846 | Dana Sroka Thomson | Physical Therapist | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2020-08-04 |
| 1477163756 | Sarah Anne Schwisow | Registered Nurse | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2020-08-03 |
| 1831708486 | Andrew Yoon | Physician Assistant | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2020-07-29 |
| 1770104622 | Sonya Zaghloul | Speech-Language Pathologist | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2020-05-01 |
| 1871121269 | Bethany Shaffer Flinchum | Clinic/Center | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2020-03-31 |
| 1326674789 | Thomas Mellette | Dietitian, Registered | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2020-03-18 |
| 1457986234 | Rose Meitzen | Nurse Practitioner | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2020-03-11 |
| 1932733847 | Olga Sushkevich | Dietitian, Registered | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2020-02-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609499243 | Elizabeth Ranganai Mavindidze | Social Worker | Wakemed Health and Hospitals, 3000 New Bern Avenue, Raleigh, NC 27610 | 2020-05-18 |
| 1851958839 | Alex & Associates, P.C. | Dentist | 1600 Cross Link Road, Unit 103, Raleigh, NC 27610 | 2019-05-24 |
| 1639646367 | Carol Mary Medins | Dietitian, Registered | Wakemed Raleigh Medical Park, 23 Sunnybrook Road, Suite 200, Raleigh, NC 27610 | 2018-10-31 |
| 1144714601 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 123 Sunnybrook Rd Ste 150, Raleigh, NC 27610 | 2018-06-19 |
| 1417446006 | Eagles Eye Lab, Inc | Clinical Medical Laboratory | 4501 New Bern Ave, Ste: 130, Raleigh, NC 27610 | 2018-05-09 |
| 1316465206 | Jeffery King Neer | Social Worker | 3010 Falstaff Rd., C/o Unc Actt, Raleigh, NC 27610 | 2017-08-31 |
| 1083139885 | Kelsey Daniel Mccleave | Social Worker | 3630 Enduring Freedom Drive, Raleigh, NC 27610 | 2017-08-14 |
| 1891219093 | Tarheel Residential Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4840 Quarryman Road, Raleigh, NC 27610 | 2017-07-29 |
| 1508214826 | Compassionate Care Providers LLC | Respite Care | 5110 Wetlands, Raleigh, NC 27610 | 2016-05-26 |
| 1730552530 | Matthew Belair | Pharmacist | 1601-51 Cross Link Rd, Raleigh, NC 27610 | 2015-11-03 |
| Find all providers in zip 27610 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447486584 | Amy Elizabeth Sell Metcalf | Emergency Medicine | 8704 Trailing Cedar Ct, Em: Emergency Medicine, Raleigh, NC 27613-1136 | 2009-06-03 |
| 1164656922 | Sarah Jean Mills | Emergency Medicine | 4413 Densmore Place, Sarah Mills, Raleigh, NC 27612 | 2009-05-08 |
| 1972647832 | Beverly Robin Goode-kanawati | Emergency Medicine | 6511 Creedmoor Rd, Suite 101, Raleigh, NC 27613-1687 | 2007-02-16 |
| 1225102981 | Harley Easter | Emergency Medicine | 916 Pebblebrook Dr, Raleigh, NC 27609-6031 | 2006-11-17 |
| 1033291190 | Neal K Chawla | Emergency Medicine | 3000 New Bern Ave Ofc, Raleigh, NC 27610-1231 | 2006-10-19 |
| 1972603231 | Michael O Citron | Emergency Medicine | 8406 Six Forks Rd, Suite 101, Raleigh, NC 27615-3074 | 2006-09-25 |
| 1801907175 | Scott Garth Kirby | Emergency Medicine | 1203 Front St, Raleigh, NC 27609-7526 | 2006-08-31 |
| 1033226253 | Lawrence Kendall Conger | Emergency Medicine | 8010 Arco Corporate Pkwy, Schwarz Biosciences, Raleigh, NC 27617-2011 | 2006-08-24 |
| 1033163993 | Christopher Occhino | Emergency Medicine | 4513 Pitt St, Raleigh, NC 27609-5654 | 2006-05-22 |
| 1730133604 | Chawki A. Lahoud | Emergency Medicine | 4505 Fair Meadows Ln Ste 101, Raleigh, NC 27607 | 2006-05-22 |
| Find all providers in RALEIGH | ||||
Please comment or provide details below to improve the information on WAKE EMERGENCY PHYSICIANS PA.
| 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.