DR. JACOB A PANICI (NPI# 1255773222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255773222 |
| Entity Type | Individual |
| Full Name | DR. JACOB A PANICI |
| Credential | D.P.M. |
| Practice Address |
103 Parkway Office Ct Ste 100 Cary NC 27518-7429 |
| Mailing Address |
1514 Glenwood Ave Glenwood Avenue Foot and Ankle, Pllc Raleigh NC 27608-2368 |
| Practice Telephone | 9194813338 |
| Mailing Telephone | 9198290076 |
| Mailing Fax Number | 9198369094 |
| Enumeration Date | 2013-07-19 |
| Last Update Date | 2019-08-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
635 | NC | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
635 | NC | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
635 | NC | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | AETNA | 4861725 | 01 |
| Street Address |
103 PARKWAY OFFICE CT STE 100 |
| City | CARY |
| State | NC |
| Zip Code | 27518-7429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487299947 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 103 Parkway Office Ct Ste 100, Cary, NC 27518-7429 | 2019-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932730801 | Fuller & Associates Iv, Pllc | Dentist | 3420 Ten-ten Road, Suite 310, Cary, NC 27518 | 2020-01-30 |
| 1649761602 | Uday N Reebye, Md. Dmd, Pa | Dentist | 431 Keisler Dr Ste 101, Cary, NC 27518 | 2018-05-25 |
| 1164912093 | Cary Dental Rejuvenation | Dentist | 155 Parkway Office Court, Suite 104, Cary, NC 27518 | 2018-05-16 |
| 1104337021 | Kaylah Mckinley Black | Nurse Practitioner | 530 New Waverly Pl Ste 301, Cary, NC 27518 | 2017-10-18 |
| 1013442961 | Amber Pinsky | Occupational Therapist | 5310 Woodfield Lake Road, Cary, NC 27518 | 2017-04-28 |
| 1750733564 | Maureen Lyons Reardon | Psychologist | 2500 Regency Parkway, Cary, NC 27518 | 2016-07-05 |
| 1730539651 | Anna Liakh | Dentist | 8204 Tryon Woods Dr, Cary, NC 27518 | 2016-06-21 |
| 1609236173 | Matthew John Myschisin II | Chiropractor | 4312 Farm Brook Dr, Cary, NC 27518 | 2016-02-26 |
| 1003299405 | Amanda Lee Morris | Social Worker | 531 Keisler Dr Ste 104, Cary, NC 27518 | 2015-07-02 |
| 1053791343 | Duke University Affiliated Physicians | Family Medicine | 530 Waverly Place, Suite 101, Cary, NC 27518 | 2015-06-02 |
| Find all providers in zip 27518 | ||||
| Taxonomy Code | 213EP1101X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Primary Podiatric Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558358333 | Richard J Hauser | Podiatrist | 103 Parkway Office Court, Suite 100, Cary, NC 27518-7429 | 2005-10-05 |
| 1194783233 | Piedmont Foot Clinic, Pa | Podiatrist | 103 Parkway Office Court, Suite 100, Cary, NC 27518-7429 | 2006-05-01 |
| 1760479547 | Robert J Lenfestey | Podiatrist | 103 Parkway Office Court, Suite 100, Cary, NC 27518-7429 | 2005-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073126223 | King Podiatry and Associates Pllc | Podiatrist | 5116 N Croatan Hwy, Kitty Hawk, NC 27949-3988 | 2020-08-27 |
| 1124475017 | Jeffrey Lynn Hunter | Podiatrist | 367 S Andy Griffith Pkwy # 200, Mount Airy, NC 27030 | 2016-05-20 |
| 1881038453 | Cardinal Podiatry, P.C. | Podiatrist | 1852 Banking St # 9043, Greensboro, NC 27408-7222 | 2013-04-25 |
| 1891007639 | Tori N Simmons Lewis | Podiatrist | 10370 Park Rd Ste 100, Charlotte, NC 28210-8509 | 2010-07-09 |
| 1437316361 | Paul J Keane Dpm | Podiatrist | 506 S Sutherland Ave, Monroe, NC 28112-5061 | 2008-05-19 |
| 1568542181 | Robert Charles Wingate | Podiatrist | 1050 South Peace Haven Road, Winston Salem, NC 27103-9788 | 2006-10-17 |
| 1275630295 | Chukwuma Ukata | Podiatrist | 516 Village Ct, Garner, NC 27529-3600 | 2006-09-20 |
| 1992810717 | Kevin C Mcdonald | Podiatrist | 1022 Lee Ann Dr Ne, Concord, NC 28025-2911 | 2006-08-20 |
| 1568484749 | Jennifer H Purvis | Podiatrist | 3301 Sunset Ave, Rocky Mount, NC 27804-3521 | 2006-07-24 |
| 1952353179 | James M Judge | Podiatrist | 833 Durham Rd Ste C, Wake Forest, NC 27587-3304 | 2006-05-16 |
| Find all providers with the same taxonomy | ||||
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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.