PATRICK STANLEY FENNELL (NPI# 1275571507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275571507 |
| Entity Type | Individual |
| Full Name | PATRICK STANLEY FENNELL |
| Credential | MD |
| Practice Address |
3909 Sunset Ridge Rd Suite 103 Raleigh NC 27607-6667 |
| Mailing Address |
2208 Misskelly Dr Raleigh NC 27612-5817 |
| Practice Telephone | 9197880505 |
| Practice Fax Number | 9197880519 |
| Mailing Telephone | 9195100637 |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2008-05-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 9400787 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8931567 | 05 |
| Street Address |
3909 SUNSET RIDGE RD SUITE 103 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27607-6667 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952352270 | Robert B Walters | Orthotist | 3909 Sunset Ridge Rd, Ste 103, Raleigh, NC 27607-6667 | 2006-05-12 |
| 1720417561 | Thomas Mitchell Dc Pa | Chiropractor | 3909 Sunset Ridge Rd, Ste. 102, Raleigh, NC 27607-6667 | 2013-11-02 |
| 1679912836 | Lauren E Chandler | Social Worker | 3909 Sunset Ridge Rd, Ste 101, Raleigh, NC 27607-6667 | 2013-06-21 |
| 1376832238 | Tracy L Van Steen | Physical Therapist | 3909 Sunset Ridge Rd, Suite 103, Raleigh, NC 27607-6668 | 2011-03-31 |
| 1073810834 | Charlotte A Sweeney Md Pllc | Obstetrics & Gynecology | 3909 Sunset Ridge Rd, Suite 201, Raleigh, NC 27607-6667 | 2011-02-14 |
| 1568767416 | Jennifer M Rizzardi | Physical Therapist | 3909 Sunset Ridge Rd, Suite 103, Raleigh, NC 27607-6668 | 2011-01-24 |
| 1417188780 | Alan L Holton Ob Gyn, Pllc | Obstetrics & Gynecology | 3909 Sunset Ridge Rd, Suite 201, Raleigh, NC 27607-6668 | 2009-08-04 |
| 1730220922 | Triangle Psychiatric Services, Pa | Psychiatry & Neurology | 3909 Sunset Ridge Rd, Suite 101, Raleigh, NC 27607-6668 | 2007-02-09 |
| 1619015211 | Margaret J. Dorfman | Psychiatry & Neurology | 3909 Sunset Ridge Rd, Suite 101, Raleigh, NC 27607-6668 | 2007-02-03 |
| 1245245034 | Sunrise Pediatric Associates Pa | Pediatrics | 3909 Sunset Ridge Rd, Suite 103, Raleigh, NC 27607-6667 | 2006-07-30 |
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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 | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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/certificatio - 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 |
|---|---|---|---|---|
| 1174165187 | Breana Lee Chappuis | Pediatrics | 4605 Lord Mario Ct, Raleigh, NC 27610-8718 | 2019-10-10 |
| 1295217008 | Centricity Care, Pllc | Pediatrics | 2417 Bryarton Woods Dr, Raleigh, NC 27606-4022 | 2018-08-29 |
| 1073914024 | Little Oaks Pediatrics, Pllc | Pediatrics | 13200 Strickland Rd Ste 120, Raleigh, NC 27613-5212 | 2014-09-09 |
| 1700144649 | Brett L Maclean | Pediatrics | 5240 Knollwood Rd, Raleigh, NC 27609-4512 | 2012-04-29 |
| 1134412943 | Michael David Brown | Pediatrics | 3000 Newbern Ave, Dept of Pediatrics, Raleigh, NC 27610 | 2011-05-26 |
| 1801041157 | James Gordon Still | Pediatrics | 4816 Oak Way, Raleigh, NC 27613-6346 | 2008-11-28 |
| 1427231943 | Mdfamily Medical Group | Pediatrics | 1100 N Raleigh Blvd Ste 111, Raleigh, NC 27610-1076 | 2007-12-06 |
| 1144415340 | Elizabeth Ann Briere | Pediatrics | 260 Horizon Dr, Raleigh, NC 27615-4922 | 2007-09-11 |
| 1285831347 | Mia N Armstrong | Pediatrics | 23 Sunnybrook Rd Ste 116, Raleigh, NC 27610-7401 | 2007-06-29 |
| 1558405498 | Ceyhun Ozturk | Pediatrics | 13200 Strickland Rd, Suite 120, Raleigh, NC 27613-5212 | 2007-02-16 |
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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.