CEDAR CREEK MEDICAL GROUP (NPI# 1033430244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033430244 |
Entity Type | Organization |
Organization Name | CEDAR CREEK MEDICAL GROUP |
Practice Address |
935 Shotwell Rd Suite 108 Clayton NC 27520-5597 |
Practice Telephone | 9195500821 |
Mailing Telephone | 9195500821 |
Enumeration Date | 2010-06-22 |
Last Update Date | 2010-06-22 |
Authorized Official Name | KATRINA CATTO (VP OF OPERATIONS) |
Authorized Official Telephone | 9195500821 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
Street Address |
935 SHOTWELL RD SUITE 108 |
City | CLAYTON |
State | NC |
Zip Code | 27520-5597 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811013477 | Amy Huber Aycock | Occupational Therapist | 935 Shotwell Rd, Suite 103, Clayton, NC 27520-5595 | 2007-03-22 |
1902348451 | Marcy Davenport | Physician Assistant | 935 Shotwell Rd, Suite 108, Clayton, NC 27520-5597 | 2016-11-15 |
1548717267 | Amy Elizabeth Purvis | Physician Assistant | 935 Shotwell Rd, St 108, Clayton, NC 27520 | 2016-09-10 |
1134587645 | Katie Marie Gould | Physician Assistant | 935 Shotwell Rd, Suite 108, Clayton, NC 27520-5597 | 2016-01-29 |
1083070106 | Alexandra Baggstrom Ray | Physician Assistant | 935 Shotwell Rd, # 108, Clayton, NC 27520-5597 | 2016-01-05 |
1679945208 | Hilary Boydston | Physician Assistant | 935 Shotwell Rd, Suite 108, Clayton, NC 27520-5597 | 2015-10-22 |
1407245103 | Lauren Webb | Physician Assistant | 935 Shotwell Rd, Suite 108, Clayton, NC 27520-5597 | 2015-01-18 |
1174912109 | Saige Clark | Physician Assistant | 935 Shotwell Rd, Suite 108, Clayton, NC 27520-5597 | 2015-01-14 |
1558759555 | Jacob Lagomarcino | Physician Assistant | 935 Shotwell Rd, Suite 108, Clayton, NC 27520-5597 | 2014-12-30 |
1184012312 | Barton Stearns | Physician Assistant | 935 Shotwell Rd, Clayton, NC 27520-5597 | 2014-12-22 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336750959 | Ebony Nichole Sanders | Driver | 312 Kilgo, Clayton, NC 27520 | 2020-08-17 |
1831701382 | Deawna Jackson | Social Worker | 205 Gracie Lane, Clayton, NC 27520 | 2020-08-17 |
1952947798 | Mac Partners LLC | Home Health | 10027 Hwy 70 Business, Suite B, Clayton, NC 27520 | 2019-11-26 |
1386291102 | Benjamin R Anderson | Physician Assistant | 2138 Nc 42, Clayton, NC 27520 | 2019-08-26 |
1396217923 | Lindsey R. Williams Dds, Pa | Dentist | 45 Shotwell Rd., Clayton, NC 27520 | 2018-12-20 |
1063987303 | Christopher James Lane | Physician Assistant | 2076 Nc 42 W, Suite 230, Clayton, NC 27520 | 2018-10-12 |
1245733971 | Cordelia O Emebo | Pharmacist | 11360 Old Us Hwy 70 West, Clayton, NC 27520 | 2018-03-08 |
1487166906 | Kendall Bonot Rodgers | Physician Assistant | 11491 Us 70 Bus Hwy W, Clayton, NC 27520 | 2017-10-25 |
1033620828 | Laura Nguyen | Physician Assistant | 2076 Nc-42, Suite 230, Clayton, NC 27520 | 2017-10-19 |
1467974394 | Liliana Galvan | Social Worker | 510 W Main St., Suit 100, Clayton, NC 27520 | 2017-07-12 |
Find all providers in zip 27520 |
Taxonomy Code | 261QM1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Multi-Specialty |
Definition to come... |
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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.