Stephen Randolph Tibbels (NPI# 1205887254, PAC ID# 6800931676) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1205887254 |
| PAC ID by PECOS | 6800931676 |
| Professional Enrollment ID | I20190730004632 |
| Full Name | Stephen Randolph Tibbels |
| Organization Legal Name | WAKE SPECIALTY PHYSICIANS LLC |
| Address |
2930 Forestville Rd Raleigh NC 27616-8774 |
| Phone Number | 9192356550 |
| Gender | M |
| Medical School | UNIV OF NEBRASKA MEDICAL CENTER, COL OF DENTISTRY |
| Graduation Year | 1995 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 7416006085 |
| Number of Group Practice Members | 511 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340069 | WAKEMED, RALEIGH CAMPUS |
| Address | Phone | Organization |
|---|---|---|
| 2930 Forestville Rd, Raleigh, NC 27616-8774 | 9192356550 | WAKE SPECIALTY PHYSICIANS LLC |
| Organization Legal Name | WAKE SPECIALTY PHYSICIANS LLC |
| Physicians | 129 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sheree D. Givre | Internal Medicine | Wake Specialty Physicians LLC | 2406 Blue Ridge Rd, Raleigh, NC 27607-6678 |
| Kelechi C Uwakwe | Nurse Practitioner | Wake Specialty Physicians LLC | 150 E Davie St, Raleigh, NC 27601-1806 |
| Jewell Elizabeth Whitmer | Certified Nurse Midwife (cnm) | Wake Specialty Physicians LLC | 204 Ashville Ave, Cary, NC 27518-6670 |
| Shahla Naz | Family Medicine | Wake Specialty Physicians LLC | 101 Cotten Ln, Holly Springs, NC 27540-8415 |
| Pamela L Borden | Certified Nurse Midwife | Wake Specialty Physicians LLC | 208 Ashville Ave, Cary, NC 27518-6678 |
| Swapna V Chenna | Family Medicine | Wake Specialty Physicians LLC | 231 N Judd Pkwy Ne, Fuquay Varina, NC 27526-2694 |
| Dustin Pierson | Family Medicine | Wake Specialty Physicians LLC | 7124 Knightdale Blvd, Knightdale, NC 27545-9265 |
| Adija D Bailey | Physician Assistant | Wake Specialty Physicians LLC | 901 Old Knight Rd, Knightdale, NC 27545-9065 |
| Michael F Soboeiro | Internal Medicine | Wake Specialty Physicians LLC | 400 Us Hwy 70 E, Garner, NC 27529 |
| Asma Afzal | Family Medicine | Wake Specialty Physicians LLC | 3701 Nw Cary Pkwy, Cary, NC 27513-8431 |
| Street Address |
2930 FORESTVILLE RD |
| City | RALEIGH |
| State | NC |
| Zip | 27616-8774 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sophia Hussain | Family Medicine | Wakemed Specialists Group, LLC | 2930 Forestville Rd, Raleigh, NC 27616-8774 |
| Eugene W Leung | Internal Medicine | Wakemed Specialists Group, LLC | 2930 Forestville Rd, Raleigh, NC 27616-8774 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Benjamin A Jeffrey | Nurse Practitioner | Yelvertons Enrichment Services Inc | 5809 Departure Dr, Suite 106, Raleigh, NC 27616-1936 |
| Erin Eves | Nurse Practitioner | Yelvertons Enrichment Services Inc | 5809 Departure Dr, Suite 106, Raleigh, NC 27616-1936 |
| Patrisha Campbell | Clinical Social Worker | Yelvertons Enrichment Services Inc | 5809 Departure Dr, Suite 106, Raleigh, NC 27616-1936 |
| Mark Allen Schoning | Optometry | 5501 Capital Blvd, Suite 104b, Raleigh, NC 27616-1971 | |
| Eileen W Carey | Optometry | 8000 Town Dr, Raleigh, NC 27616-2828 | |
| Keith F Tomlin | Certified Registered Nurse Anesthetist (crna) | American Anesthesiology of North Carolina Pllc | 3100 Spring Forest Rd, Suite 130, Raleigh, NC 27616-2880 |
| Ryan J Werblow | Certified Registered Nurse Anesthetist (crna) | American Anesthesiology of North Carolina Pllc | 3100 Spring Forest Rd, Suite 130, Raleigh, NC 27616-2880 |
| Jennifer Faye Jones | Certified Registered Nurse Anesthetist (crna) | American Anesthesiology of North Carolina Pllc | 3100 Spring Forest Rd, Suite 130, Raleigh, NC 27616-2880 |
| Wendy A Toupin | Certified Registered Nurse Anesthetist (crna) | American Anesthesiology of North Carolina Pllc | 3100 Spring Forest Rd, Suite 130, Raleigh, NC 27616-2880 |
| Mary L Shi | Certified Registered Nurse Anesthetist (crna) | American Anesthesiology of North Carolina Pllc | 3100 Spring Forest Rd, Suite 130, Raleigh, NC 27616-2880 |
| Find all physicians in zip 27616 | |||
| City | RALEIGH |
| Zip Code | 27616 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | RALEIGH + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Stephen Randolph Tibbels.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.