FAITH PEDIATRICS AND ADOLESCENT MEDICINE INC. (NPI# 1023077211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023077211 |
| Entity Type | Organization |
| Organization Name | FAITH PEDIATRICS AND ADOLESCENT MEDICINE INC. |
| Practice Address |
3350 Six Forks Rd Raleigh NC 27609-7233 |
| Practice Telephone | 9198819440 |
| Practice Fax Number | 9198819465 |
| Mailing Telephone | 9198819440 |
| Mailing Fax Number | 9198819465 |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. DONNA K AVERY (OFFICE MANAGER) |
| Authorized Official Telephone | 9198819440 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7901770 | 05 | |
| NC | BLUE CROSS BLUE SHIELD | 01770 | 01 |
| Street Address |
3350 SIX FORKS RD |
| City | RALEIGH |
| State | NC |
| Zip Code | 27609-7233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568082642 | Aileen Pierson | Nurse Practitioner | 3350 Six Forks Rd, Raleigh, NC 27609-7233 | 2020-04-20 |
| 1104885938 | Connell Covington | Pediatrics | 3350 Six Forks Rd, Raleigh, NC 27609-7233 | 2006-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184235582 | Choice Service Solutions LLC | In Home Supportive Care | 5300 Six Fox Rd Siite205, Raleigh, NC 27609 | 2020-08-11 |
| 1003426073 | Rosana Oba -rovira | Registered Nurse | 5300 Six Fox Road, Suite 205, Raleigh, NC 27609 | 2020-08-05 |
| 1821612706 | Helen Alexandra Bonner | Physical Medicine & Rehabilitation | Hey Clinic Pa, 3320 Wake Forest Road Ste 450, Raleigh, NC 27609 | 2020-06-05 |
| 1215423579 | Appiah Nana Larbi | Social Worker | Easter Seals Ucp 4000 Wake Forest Rd Ste 200, Raleigh, NC 27609 | 2018-07-10 |
| 1215423777 | Broadway Home Care LLC | In Home Supportive Care | 107 Windel Dr Ste 105, Raleigh, NC 27609 | 2018-07-09 |
| 1275027948 | Lacey Allene Cottingham | Social Worker | 312 W Millbrook Rd Ste 129, Raleigh, NC 27609 | 2018-06-18 |
| 1447748819 | Integrated Dermatology of North Raleigh, Pllc | Dermatology | 3809 Computer Dr Ste 200, Raleigh, NC 27609 | 2018-05-01 |
| 1902325418 | Naomi Christine Askew | Nurse Practitioner | 3400 Wake Forest Drive, Bldg 9, Bldg #9, 4th Floor, Raleigh, NC 27609 | 2017-09-15 |
| 1962929679 | Alexia Montague | Social Worker | 1306 Paddock Drive Suite E-100, Raleigh, NC 27609 | 2017-08-23 |
| 1730602236 | Chantel Washington-mbuthia | Counselor | 1100 Logger Ct. Ste C100, Heartfelt Alternative Inc, Raleigh, NC 27609 | 2017-07-18 |
| Find all providers in zip 27609 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| 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/certification - 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 |
|---|---|---|---|---|
| 1740622166 | Sunshine Pediatric and Adolescent Care | Pediatrics | 1631 Midtown Pl Ste 107, Raleigh, NC 27609-1300 | 2013-07-26 |
| 1134265721 | Daniel Elmer Brown | Pediatrics | 2412 Ridge Rd, Raleigh, NC 27612-4759 | 2007-01-30 |
| 1477524999 | Mary Beth Ogle Helton | Pediatrics | 2605 Blue Ridge Road, Suite 100, Raleigh, NC 27607-6678 | 2006-02-01 |
| 1265868806 | Easter Seals Ucp North Carolina & Virginia | Pediatrics | 314 Chapanoke Rd, Raleigh, NC 27603-3400 | 2013-09-14 |
| 1174888093 | Lyndsay Isil Weyers | Pediatrics | 2406 Blue Ridge Rd, Suite 100, Raleigh, NC 27607-6678 | 2012-07-06 |
| 1619286291 | Mari L. Emmet | Pediatrics | 2605 Blue Ridge Road, Suite 100, Raleigh, NC 27607-6475 | 2010-09-30 |
| 1386861268 | Maria Premilla Alexander | Pediatrics | 2406 Blue Ridge Rd, Suite 100, Raleigh, NC 27607-6678 | 2007-04-20 |
| 1346313475 | Peter Joseph Morris | Pediatrics | 220 Swinburne Rd, Raleigh, NC 27610-1834 | 2006-11-16 |
| 1962466631 | Jeffers Mann & Artman Pediatric & Adolesent Medicine Pa | Pediatrics | 2406 Blue Ridge Rd, Suite 100, Raleigh, NC 27607-6678 | 2006-04-12 |
| 1104885938 | Connell Covington | Pediatrics | 3350 Six Forks Rd, Raleigh, NC 27609-7233 | 2006-03-21 |
| Find all providers in RALEIGH | ||||
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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.