DR. STACY M TELLONI (NPI# 1922241165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922241165 |
Entity Type | Individual |
Full Name | DR. STACY M TELLONI |
Credential | MD |
Practice Address |
4101 Macon Pond Rd Raleigh NC 27607-6319 |
Mailing Address |
Po Box 63362 Charlotte NC 28263-3362 |
Practice Telephone | 9198625400 |
Mailing Telephone | 9196848111 |
Enumeration Date | 2009-04-17 |
Last Update Date | 2015-12-09 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
2012-00277 | NC | Allopathic & Osteopathic Physicians |
Street Address |
4101 MACON POND RD |
City | RALEIGH |
State | NC |
Zip Code | 27607-6319 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962486514 | Lisa Anne Tolnitch | Surgery | 4101 Macon Pond Rd, Raleigh, NC 27607-6319 | 2005-12-06 |
1225593866 | Alicia S Johnson | Nurse Practitioner | 4101 Macon Pond Rd, Raleigh, NC 27607-6319 | 2019-02-07 |
1508372830 | Elyn Chance Inman | Physician Assistant | 4101 Macon Pond Rd, Raleigh, NC 27607-6319 | 2017-12-22 |
1225586902 | Jessica Arizu | Physician Assistant | 4101 Macon Pond Rd, Raleigh, NC 27607-6319 | 2016-09-12 |
1437500568 | Duke University Health System, Inc | Surgery | 4101 Macon Pond Rd, Raleigh, NC 27607-6319 | 2016-06-30 |
1548656036 | Sarah Jo Stephens | Radiology | 4101 Macon Pond Rd, Raleigh, NC 27607-6319 | 2015-04-10 |
1376934208 | Jennifer Mewshaw | Nurse Practitioner | 4101 Macon Pond Rd, Raleigh, NC 27607-6319 | 2015-02-13 |
1952704934 | Dawn M Barringer | Nurse Practitioner | 4101 Macon Pond Rd, Raleigh, NC 27607-6319 | 2014-10-03 |
1063856284 | Vijay G Paryani | Internal Medicine | 4101 Macon Pond Rd, Raleigh, NC 27607-6319 | 2013-04-18 |
1174823355 | Emily E Dill | Nurse Practitioner | 4101 Macon Pond Rd, Raleigh, NC 27607-6319 | 2010-10-22 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972093144 | Kyndra Lawson | Behavior Technician | 5121 Kingdom Way, Suite 100, Raleigh, NC 27607 | 2018-05-14 |
1578082905 | Margaret Roberts Bova | Dietitian, Registered | 4207 Lake Boone Trail, Suite 210, Raleigh, NC 27607 | 2017-09-18 |
1184141897 | Chricat Garrard | Nurse Practitioner | 4207 Lake Boone Trl Ste 200, Raleigh, NC 27607 | 2017-08-23 |
1487178620 | John Patrick Morton | Pharmacist | 2411 Landmark Dr, Raleigh, NC 27607 | 2017-07-31 |
1023538857 | Heather Margaret Mazzola | Audiologist | 7800 Lake Boone Trail, 100, Raleigh, NC 27607 | 2017-06-22 |
1790216984 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2411 Landmark Drive, Raleigh, NC 27607 | 2017-03-21 |
1558819516 | Corilin Nocito Meggitt | Nurse Practitioner | 4505 Fair Meadows Ln Ste 102, Raleigh, NC 27607 | 2016-09-19 |
1942757034 | Stacie Walker | Obstetrics & Gynecology | 4414 Lake Boone Trl Ste 311, Raleigh, NC 27607 | 2016-09-06 |
1831644533 | Alisa Smajlagic Howe | Nurse Practitioner | 4210 Lake Boone Trail, Rex Rehab & Nursing Center, Raleigh, NC 27607 | 2016-08-23 |
1235598632 | Yoseph Saleh | Dentist | 107 Minden Ln, Raleigh, NC 27607 | 2016-02-15 |
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Taxonomy Code | 207RX0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Medical Oncology |
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942239538 | Rex Hospital Inc | Internal Medicine | 4420 Lake Boone Trl, Suite 200, Raleigh, NC 27607-7505 | 2006-07-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750916771 | American Oncology Partners, Pa | Internal Medicine | 10 One Center Ct, Franklin, NC 28734-0095 | 2020-03-10 |
1215570890 | American Oncology Partners, P.a. | Internal Medicine | 1860 Sugar Hill Rd Ste A, Marion, NC 28752-5565 | 2019-10-25 |
1730658808 | Laura Kolker Max | Internal Medicine | 2301 Erwin Road Unit 9300, Durham, NC 27710-2621 | 2018-11-19 |
1396249256 | Deanna Andrews Griffie | Internal Medicine | 20 Medicine Circle Duke Cancer Center Clinic 3-2, Durham, NC 27710-0001 | 2018-03-23 |
1558885004 | Casey Marie Mozingo | Internal Medicine | 20 Duke Medicine Circle Duke Cancer, Durham, NC 27710-0001 | 2017-07-26 |
1710430822 | Angel Medical Center, Inc. | Internal Medicine | 834 Depot St, Franklin, NC 28734-0176 | 2016-07-26 |
1174942262 | Kristen Leigh Perez | Internal Medicine | 20 Duke Medicine Circle Duke Cancer Center Clinic 5-1, Durham, NC 27710-4699 | 2014-04-16 |
1851739239 | Jingquan Jia | Internal Medicine | 20 Duke Medicine Drive, Durham, NC 27710 | 2013-06-07 |
1215279617 | Jacob Eli Berchuck | Internal Medicine | 226 Chesley Ln, Chapel Hill, NC 27514-1461 | 2013-03-23 |
1861759391 | Wayne Dewitt Brenckman Jr. | Internal Medicine | 5632 Denwood Ln, Durham, NC 27705-9252 | 2012-04-22 |
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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.