DR. MICHAEL O CITRON (NPI# 1972603231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972603231 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL O CITRON |
| Credential | MD |
| Practice Address |
8406 Six Forks Rd Suite 101 Raleigh NC 27615-3074 |
| Mailing Address |
8308 Nantahala Dr Raleigh NC 27612-7336 |
| Practice Telephone | 9197406129 |
| Mailing Telephone | 9195718137 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2016-09-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 9500043 | NC | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 95-00043 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BLUE SHIELD | 69637 | 01 |
| NC | RR MEDICARE | 080094382 | 01 |
| NC | 8969637 | 05 | |
| NC | 8922602 | 05 | |
| NC | DEA | AC3239236 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376794453 | Michael A Citron | Dentist | 771 Village Blvd Ste 203, West Palm Beach, FL 33409-1934 | 2008-10-07 |
| Street Address |
8406 SIX FORKS RD SUITE 101 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27615-3074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568989713 | Jessica Danyelle Faison | Marriage & Family Therapist | 8406 Six Forks Rd, Raleigh, NC 27615-3074 | 2017-08-28 |
| 1568890739 | Sarah Renee Smusz | Social Worker | 8406 Six Forks Rd, Suite 201, Raleigh, NC 27615-3074 | 2013-10-24 |
| 1568801991 | Jasmine Maria Potts | Counselor | 8406 Six Forks Rd, Ste. 204, Raleigh, NC 27615-3074 | 2013-06-19 |
| 1306196944 | Mindly Group, Pllc | Social Worker | 8406 Six Forks Rd, Suite 204, Raleigh, NC 27615-3074 | 2012-09-11 |
| 1225345689 | Stephanie Dawn Phillips | Counselor | 8406 Six Forks Rd, Suite 201, Raleigh, NC 27615-3074 | 2010-09-07 |
| 1508095563 | Heather Klein Hale | Counselor | 8406 Six Forks Rd, Suite 102, Raleigh, NC 27615 | 2009-07-10 |
| 1144480922 | Connie Shelton Lancaster | Counselor | 8406 Six Forks Rd, Suite 201, Raleigh, NC 27615-3074 | 2008-06-15 |
| 1417153222 | Advanced Health Resources | Community/Behavioral Health | 8406 Six Forks Rd, Ste 201, Raleigh, NC 27615-3074 | 2007-06-27 |
| 1336345149 | Advanced Health Resources | Community/Behavioral Health | 8406 Six Forks Rd, Suite 201, Raleigh, NC 27615-3074 | 2007-06-27 |
| 1609935915 | Advanced Health Resources Inc | Community/Behavioral Health | 8406 Six Forks Rd, Ste 201, Raleigh, NC 27615-3074 | 2006-12-06 |
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| 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 | 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 |
| 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 |
| 1356399109 | Victor Lerch | Emergency Medicine | 10204 Clairbourne Pl, Raleigh, NC 27615-1325 | 2006-05-04 |
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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.