CEDAR CREEK MEDICAL GROUP


Address: 935 Shotwell Rd, Suite 108, Clayton, NC 27520-5597
Phone: 9195500821

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM1300X Clinic/Center
Specialization: Multi-Specialty
Ambulatory Health Care Facilities

Office Location

Street Address 935 SHOTWELL RD
SUITE 108
City CLAYTON
State NC
Zip Code 27520-5597

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261QM1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Multi-Specialty

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407308711 Meridian Corporate Healthcare of Georgia P C Clinic/Center 173 W Savannah St, Clayton, GA 30525-5096 2016-11-03
1265911168 Healthworks Med Group of North Carolina P C Clinic/Center 3612 Powhatan Rd, Clayton, NC 27527-9217 2018-08-10

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1447851340 Be Inc Clinic/Center 13 N Kaufman Stone Way, Candler, NC 28715-7721 2020-11-06
1801424171 Recover Together, Inc. Clinic/Center 59 Haywood Office Park Ste 2, Waynesville, NC 28785-6998 2020-03-31
1891330056 Veritas Collaborative Charlotte, LLC Clinic/Center 1900 Scott Ave Ste 101, Charlotte, NC 28203-6046 2019-11-12
1770135808 American Family Care Fuquay Pllc Clinic/Center 1298 N Main St, Fuquay Varina, NC 27526-2615 2019-07-09
1508424029 Shelly Renea Obasoluyi Clinic/Center 403 Atwell Dr, Fayetteville, NC 28314-0122 2019-05-30
1215593819 Wilmington Health Pllc Clinic/Center 1811 Tiburon Dr, Wilmington, NC 28403-6254 2019-05-20
1003472804 Loginclinics, Pllc Clinic/Center 1324 Reservoir View Ln, Wake Forest, NC 27587-1836 2019-05-16
1124586060 Bethany Christian Services of Nc Clinic/Center 1110 Navaho Dr Ste 109, Raleigh, NC 27609-7352 2019-03-11
1548740038 Hillsborough Community Urgent Care Clinic/Center 110 Boone Square St Ste 29a, Hillsborough, NC 27278-2665 2018-08-15
1679079537 Carter Clinic, Pa Clinic/Center 260 1st Ave Nw Ste 215, Hickory, NC 28601-6161 2018-03-31
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Competitor

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City CLAYTON
Zip Code 27520

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Dataset Information

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.

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