RALEIGH NEUROLOGY ASSOCIATES, P.A. (NPI# 1992048680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992048680 |
| Entity Type | Organization |
| Organization Name | RALEIGH NEUROLOGY ASSOCIATES, P.A. |
| Practice Address |
1520 Sunday Dr Raleigh NC 27607-5253 |
| Mailing Address |
1540 Sunday Dr Raleigh NC 27607-6010 |
| Practice Telephone | 9197823456 |
| Practice Fax Number | 9197831441 |
| Mailing Telephone | 9197823456 |
| Mailing Fax Number | 9197831441 |
| Enumeration Date | 2013-04-01 |
| Last Update Date | 2013-04-01 |
| Authorized Official Name | WILLIAM G. FERRELL (PRESIDENT) |
| Authorized Official Telephone | 9197823456 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
76063 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 890150M | 05 |
| Street Address |
1520 SUNDAY DR |
| City | RALEIGH |
| State | NC |
| Zip Code | 27607-5253 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417940990 | Paul P. Carnes | Anesthesiology | 1520 Sunday Dr, Raleigh, NC 27607-5253 | 2005-08-30 |
| 1952951337 | Brittany L Estep | Nurse Practitioner | 1520 Sunday Dr, Raleigh, NC 27607-5253 | 2019-09-17 |
| 1316492655 | Kelsey Ann Earnheart | Physical Therapist | 1520 Sunday Dr, Suite 105, Raleigh, NC 27607-5253 | 2016-08-16 |
| 1306215975 | Gretchen Reichmann | Nurse Practitioner | 1520 Sunday Dr, Raleigh, NC 27607-5253 | 2015-09-24 |
| 1821465774 | Danielle Vaughan | Physical Therapist | 1520 Sunday Dr, Suite 105, Raleigh, NC 27607-5253 | 2015-08-26 |
| 1881091544 | Katherine Mary Pride | Physical Therapist | 1520 Sunday Dr, Suite 105, Raleigh, NC 27607-5253 | 2014-11-24 |
| 1467879783 | Jan R Campbell | Physician Assistant | 1520 Sunday Dr, Raleigh, NC 27607-5253 | 2014-03-25 |
| 1740605096 | Drayer Physical Therapy of North Carolina LLC | Physical Therapist | 1520 Sunday Dr, Suite 105, Raleigh, NC 27607-5253 | 2014-02-24 |
| 1346670486 | Brian Lawton | Physical Therapist | 1520 Sunday Dr, Suite 105, Raleigh, NC 27607-5253 | 2013-11-26 |
| 1720411994 | Elizabeth Carlton Waddell | Physical Therapist | 1520 Sunday Dr, Suite 105, Raleigh, NC 27607-5253 | 2013-08-12 |
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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 |
| Find all providers in zip 27607 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356538698 | Susan Pate | Psychiatry & Neurology | 605 Marlowe Rd, Raleigh, NC 27609-7021 | 2007-10-01 |
| 1801842794 | David A Konanc | Psychiatry & Neurology | Raleigh Neurology Associates, Pa, 1540 Sunday Dr., Raleigh, NC 27607-5163 | 2006-05-25 |
| 1659342806 | Philip A Davenport | Psychiatry & Neurology | 3480 Wake Forest Rd, Suite 502, Raleigh, NC 27609-7376 | 2006-01-27 |
| 1659767911 | Wayneho Kam | Psychiatry & Neurology | 3400 Wake Forest Rd, Raleigh, NC 27609-7317 | 2015-04-13 |
| 1245650068 | Neeja Vivek Desai | Psychiatry & Neurology | 1540 Sunday Dr, Raleigh, NC 27607 | 2014-04-19 |
| 1619395092 | Casey Victoria Farin | Psychiatry & Neurology | 1540 Sunday Dr, Raleigh, NC 27607 | 2014-04-02 |
| 1205272663 | Raleigh Neurology Associates, Pa | Psychiatry & Neurology | 3701 Wake Forest Rd, Raleigh, NC 27609-6832 | 2013-05-13 |
| 1265728489 | Chandni Pankaj Kalaria | Psychiatry & Neurology | 1540 Sunday Dr, Raleigh, NC 27607 | 2011-06-27 |
| 1205125101 | Mariam Wasim | Psychiatry & Neurology | 3480 Wake Forest Rd Ste 310, Raleigh, NC 27609 | 2011-03-31 |
| 1851694889 | Mahmoud Al Masry | Psychiatry & Neurology | 4420 Lake Boone Trl, Raleigh, NC 27607 | 2010-12-14 |
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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.