AJEY B GOLWALA, MD ,PC (NPI# 1255516548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255516548 |
Entity Type | Organization |
Organization Name | AJEY B GOLWALA, MD ,PC |
Practice Address |
2500 Blue Ridge Rd Suite 327 Raleigh NC 27607-6454 |
Practice Telephone | 9197875333 |
Practice Fax Number | 9195670004 |
Mailing Telephone | 9197875333 |
Mailing Fax Number | 9195670004 |
Enumeration Date | 2008-01-04 |
Last Update Date | 2017-05-09 |
Authorized Official Name | AJEY B GOLWALA (PRESIDENT) |
Authorized Official Telephone | 9197875333 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | 207R00000X | NC | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | RR MEDICARE | 110105438 | 01 |
NC | BCBS | 36415 | 01 |
NC | 8936145 | 05 |
Street Address |
2500 BLUE RIDGE RD SUITE 327 |
City | RALEIGH |
State | NC |
Zip Code | 27607-6454 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861499105 | Valerie G. Brooks | Pharmacist | 2500 Blue Ridge Rd, Suite 330, Raleigh, NC 27607-6469 | 2005-07-01 |
1952616880 | S M Shah Md Pa | Internal Medicine | 2500 Blue Ridge Rd, Suite 321, Raleigh, NC 27607-6469 | 2010-08-16 |
1275784316 | Arnold & Hill, LLC | In Home Supportive Care | 2500 Blue Ridge Rd, Suite 312, Raleigh, NC 27607-6469 | 2008-10-07 |
1831304179 | Scott A Hum, Dmd, Pa | Dentist | 2500 Blue Ridge Rd, Suite 201, Raleigh, NC 27607-6469 | 2007-05-11 |
1821214495 | Cynthia L. Furlough | Speech-Language Pathologist | 2500 Blue Ridge Rd, Ste. 120, Raleigh, NC 27607-6469 | 2007-04-18 |
1780759498 | Wake County Medical Society Community Health Foundation | Case Management | 2500 Blue Ridge Rd, Suite 312, Raleigh, NC 27607-6469 | 2006-11-21 |
1831298405 | Syed M Shah | Internal Medicine | 2500 Blue Ridge Rd, Suite 321, Raleigh, NC 27607-6469 | 2006-09-21 |
1750483392 | Ajey A Golwala | Internal Medicine | 2500 Blue Ridge Rd, Suite 327, Raleigh, NC 27607-6469 | 2006-09-03 |
1235168873 | Thomas Kent Mitchell | Chiropractor | 2500 Blue Ridge Rd, Suite 308, Raleigh, NC 27607-6469 | 2006-07-03 |
1740216456 | Scott Alan Hum | Dentist | 2500 Blue Ridge Rd, Suite 201, Raleigh, NC 27607-6469 | 2006-06-24 |
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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 |
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Taxonomy Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174160923 | Newell Health | Clinic/Center | 10208 Cerny St Ste 308, Raleigh, NC 27617-7885 | 2019-11-27 |
1609422682 | Qol Medical Integrators, Inc. | Clinic/Center | 3344 Hillsborough St Ste 100, Raleigh, NC 27607-5460 | 2019-08-14 |
1326541046 | Frederick Chiropractic Pllc | Clinic/Center | 10310 Moncreiffe Rd Ste 103, Raleigh, NC 27617-7814 | 2018-03-09 |
1629518832 | New Life Aesthetics P.a. | Clinic/Center | 2091 W Millbrook Rd, Studio 125, Raleigh, NC 27612-6332 | 2017-03-07 |
1619429388 | Greenbrook Tms North Raleigh LLC | Clinic/Center | 701 Exposition Pl Ste 201, Raleigh, NC 27615-3359 | 2016-10-28 |
1952850893 | Greenbrook Tms Cary LLC | Clinic/Center | 1500 Sunday Dr Ste 213, Raleigh, NC 27607-5151 | 2016-10-03 |
1770956195 | Clark & Girdis Chiropractic Wellness | Clinic/Center | 140 Mine Lake Ct, Suite 200, Raleigh, NC 27615-6417 | 2015-11-06 |
1134513328 | Keystone Healing Arts Center Pllc | Clinic/Center | 8522 Six Forks Rd Ste 101, Raleigh, NC 27615-3098 | 2015-03-25 |
1407088354 | Safe Haven Enrichment Center, LLC | Clinic/Center | 3939 New Bern Ave, Raleigh, NC 27610-1332 | 2009-08-11 |
1255568242 | The Life Renewal Center, Inc. | Clinic/Center | 7116 Six Forks Rd., #g, Raleigh, NC 27615 | 2009-06-17 |
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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.