DR. SARATH B. DOMMARAJU (NPI# 1922198753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922198753 |
| Entity Type | Individual |
| Full Name | DR. SARATH B. DOMMARAJU |
| Credential | M.D. |
| Practice Address |
400 Ashville Ave Suite 100 Cary NC 27518-6134 |
| Practice Telephone | 9198580600 |
| Practice Fax Number | 9198580540 |
| Mailing Telephone | 9198580600 |
| Mailing Fax Number | 9198580540 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2011-09-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 2007-00317 | NC | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 4301088908 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
400 ASHVILLE AVE SUITE 100 |
| City | CARY |
| State | NC |
| Zip Code | 27518-6134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346246360 | Christopher Paul Fleming | Ophthalmology | 400 Ashville Ave, Ste 300, Cary, NC 27518-6134 | 2005-06-23 |
| 1972046589 | Marissa Vaughn | Radiology Practitioner Assistant | 400 Ashville Ave, Ste 330, Cary, NC 27518-6134 | 2016-11-30 |
| 1306202296 | Flexogenix North Carolina PC | Radiology | 400 Ashville Ave, Suite 330, Cary, NC 27518-6134 | 2016-01-07 |
| 1629405550 | Wake Primary Care, Pllc | Internal Medicine | 400 Ashville Ave, Suite 315, Cary, NC 27518-6134 | 2013-10-10 |
| 1578995049 | Tyler Evan Anderson | Radiology Practitioner Assistant | 400 Ashville Ave, Cary, NC 27518-6134 | 2013-08-06 |
| 1912277211 | Carolina Aesthetics and Weight Loss Pa | Clinic/Center | 400 Ashville Ave, Suite 200, Cary, NC 27518-6134 | 2012-01-04 |
| 1568780997 | Mary Charles Sutphin | Advanced Practice Midwife | 400 Ashville Ave, Suite 200, Cary, NC 27518-6134 | 2010-05-10 |
| 1083866370 | Apex Pediatric and Adolescent Clinic,p.a | Clinic/Center | 400 Ashville Ave, Suite 100, Cary, NC 27518-6134 | 2008-10-17 |
| 1306038344 | Friendship Medical Center, Pa | Pediatrics | 400 Ashville Ave, Suite 340, Cary, NC 27518-6134 | 2007-08-14 |
| 1982734026 | Embryology Services Inc | Clinical Medical Laboratory | 400 Ashville Ave, Cary, NC 27511-6134 | 2007-03-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891201737 | Cary Childrens Clinic PC | Pediatrics | 155 Parkway Office Ct Ste 100, Cary, NC 27518-7427 | 2017-12-14 |
| 1649790635 | Phillip Nam Nguyen | Pediatrics | 1515 Sw Cary Pkwy Ste 200, Cary, NC 27511-6224 | 2017-06-21 |
| 1457718835 | Davis Grove Pediatrics Pllc | Pediatrics | 204 Davis Grove Cir Ste 107, Cary, NC 27519-2581 | 2016-01-15 |
| 1033449731 | Vijaya V Bapat | Pediatrics | 227 Beckingham Loop, Cary, NC 27519-6374 | 2010-01-04 |
| 1821282948 | Zhao Min | Pediatrics | 204 Davis Grove Circle, Ste 107, Cary, NC 27519 | 2007-08-31 |
| 1881700573 | Carie L Bloom | Pediatrics | 1001 Crescent Green Drive, Cary, NC 27518 | 2006-08-22 |
| 1376580977 | Alisa R Lancaster | Pediatrics | 100 Cornerstone Dr, Cary, NC 27519-8453 | 2006-06-01 |
| 1356388953 | Ann F Mcbride | Pediatrics | 1001 Crescent Green Dr, Cary, NC 27518-8101 | 2006-06-01 |
| 1558313288 | Hope P Seidel | Pediatrics | 1001 Crescent Grn, Cary, NC 27518-8101 | 2006-05-17 |
| 1306898127 | Virgil S Steele | Pediatrics | 1001 Crescent Green, Cary, NC 27511 | 2006-05-17 |
| 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.