MS. ADESUWA TRACY EGHAREVBA (NPI# 1306192836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306192836 |
| Entity Type | Individual |
| Full Name | MS. ADESUWA TRACY EGHAREVBA |
| Credential | M.D. |
| Practice Address |
4312 District Dr Raleigh NC 27699-7708 |
| Mailing Address |
390 17th St Nw, Unit 5008 Atlanta GA 30363 |
| Practice Telephone | 9197439000 |
| Enumeration Date | 2012-08-02 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5201 Harry Hines Blvd, Graduate Medical Education, Dallas, TX 752357708 | 2145908058 |
| Street Address |
4312 DISTRICT DR |
| City | RALEIGH |
| State | NC |
| Zip Code | 27699-7708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235290651 | North Carolina State Laboratory of Public Health | Clinical Medical Laboratory | 4312 District Dr, Raleigh, NC 27607-5490 | 2006-12-12 |
| 1174131627 | Craig Nelson | Pathology | 4312 District Dr, Raleigh, NC 27607-5490 | 2020-07-21 |
| 1801270053 | Nc Ocme | Clinical Medical Laboratory | 4312 District Dr, Raleigh, NC 27607-5490 | 2015-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093145864 | Katherine Everett | Health Educator | 2108 Umstead Dr, Raleigh, NC 27699-0001 | 2013-11-15 |
| 1922246065 | Peter Delaney Morris | Preventive Medicine | 2020 Yonkers Rd, Raleigh, NC 27699-0001 | 2009-01-28 |
| 1578722849 | William David Joyner | Dentist | N C Correctional Institution for Women, 1034 Bragg St., Raleigh, NC 27699-0001 | 2008-06-03 |
| 1548459142 | Clifford Austin Nelson Curtis | Internal Medicine | North Carolina Department of Corrections; 4287 Bragg St, Raleigh, NC 27699-0001 | 2007-10-18 |
| 1770539348 | Pamela Louise1 Burch | Social Worker | 3024 Msc, Raleigh, NC 27699-0001 | 2006-05-25 |
| 1962653444 | Peter Bertram Goodman | Social Worker | Dorothea Dix Hospital, 3601 Mail Service Center, Raleigh, NC 27699-0001 | 2008-10-02 |
| 1790946507 | Ernest Graham Forrest | Dentist | 831 W Morgan St, Raleigh, NC 27699-0001 | 2008-06-24 |
| 1235390261 | Vasznt Doshi | Internal Medicine | 831 W Morgan St, Raleigh, NC 27699-0001 | 2008-06-23 |
| 1639349699 | Claretta B. Oshodi | Pharmacist | Dorothea Dix Hospital, 3601 Mail Service Cener, Raleigh, NC 27699-0001 | 2008-03-06 |
| 1033307657 | Leslie Greeene Oakley | Speech-Language Pathologist | 319 Chapanoke Rd, Raleigh, NC 27699-0001 | 2007-10-09 |
| Find all providers in zip 27699 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376140632 | Karla Flores Chavez | Student in an Organized Health Care Education/Training Program | 3624 Castlegate Dr, Raleigh, NC 27616-9551 | 2020-10-08 |
| 1144830977 | Kiera Ann Quinn | Student in an Organized Health Care Education/Training Program | 8813 Miranda Dr, Raleigh, NC 27617-7675 | 2020-08-06 |
| 1932725017 | Henry Matthews Kidd Jr. | Student in an Organized Health Care Education/Training Program | 613 Glen Eden Dr, Raleigh, NC 27612-5002 | 2020-06-24 |
| 1639795487 | Cameron Clark | Student in an Organized Health Care Education/Training Program | 701 Loch Highlands Dr, Raleigh, NC 27606-8432 | 2020-06-17 |
| 1942822069 | Matthew Daniel Mcdowell | Student in an Organized Health Care Education/Training Program | 3614 Silver Forrest Ln, Raleigh, NC 27614-7331 | 2020-05-12 |
| 1386265486 | Cayla Lauren Culbreth | Student in an Organized Health Care Education/Training Program | 8904 Sanctus Ln, Raleigh, NC 27613-5394 | 2020-04-29 |
| 1306466297 | Jordan Daniel Taylor | Student in an Organized Health Care Education/Training Program | 5529 Golden Arrow Ln, Raleigh, NC 27613-8409 | 2020-04-21 |
| 1326684879 | Marcus Alan Bynum | Student in an Organized Health Care Education/Training Program | 2005 Rabbit Run, Raleigh, NC 27603-2783 | 2019-11-19 |
| 1306307467 | Fadi Hanna | Student in an Organized Health Care Education/Training Program | 2304 Kendricks Ct, Raleigh, NC 27613-3678 | 2019-03-29 |
| 1992265565 | Laura Barlow Moore | Student in an Organized Health Care Education/Training Program | 430 Allister Dr Unit 206, Raleigh, NC 27609-7279 | 2019-03-20 |
| Find all providers in RALEIGH | ||||
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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.