GRACEFUL AGING,PC


Address: 2732 Bardolino Dr, Fayetteville, NC 28306-4636
Phone: 9108686477

GRACEFUL AGING,PC (NPI# 1316259013) 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) 1316259013
Entity Type Organization
Organization Name GRACEFUL AGING,PC
Practice Address 2732 Bardolino Dr
Fayetteville
NC 28306-4636
Mailing Address Po Box 87142
Fayetteville
NC 28304-7142
Practice Telephone 9108686477
Mailing Telephone 9108686477
Enumeration Date 2010-07-09
Last Update Date 2010-07-09
Authorized Official Name DR. SUSANNAH OGUNWO (PRESIDENT)
Authorized Official Telephone 9108686477
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207QG0300X Family Medicine
Specialization: Geriatric Medicine
200601059 NC Allopathic & Osteopathic Physicians

Office Location

Street Address 2732 BARDOLINO DR
City FAYETTEVILLE
State NC
Zip Code 28306-4636

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013539501 Lauren Lockhart Pharmacist 5106 Nc-87 #100, Fayetteville, NC 28306 2020-05-07
1528687472 Edutherapy Connection LLC Occupational Therapist 3518 Grenedine Dr, Fayetteville, NC 28306 2020-04-10
1245708213 Catherine H Cox Speech-Language Pathologist Southeastern Communication and Swallowing Specialists, 3530 Boone Trail, Fayetteville, NC 28306 2018-11-08
1720446776 Wal-mart Store East, Lp Technician/Technologist 2820 Gillespie St., Fayetteville, NC 28306 2016-02-05
1720460017 Sridhar Gottipati Pharmacist 10072 Southern Ave., Fayetteville, NC 28306 2015-06-23
1942687900 St Marys Hca of South Carolina Clinic/Center 2603 Cumberland Gap Drive, Suite 203, Fayetteville, NC 28306 2015-04-29
1649696204 Kathryn Dries Nurse Practitioner 7496 Rockfish Road, Fayetteville, NC 28306 2014-03-06
1508288218 Teresa Mcneill Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 3608 Pickerel St, Fayetteville, NC 28306 2014-01-15
1740535715 Harris Teeter, LLC Pharmacy 3050 Traemoor Village Dr, Fayetteville, NC 28306 2012-07-17
1184928848 Hanora Medical Center, Pllc Internal Medicine 2620 Owen Dr, Fayetteville, NC 28306 2011-01-10
Find all providers in zip 28306

Taxonomy Information

Taxonomy Code 207QG0300X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Geriatric Medicine

Taxonomy Definition

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932295342 Larry Wayne Barnes Family Medicine 2330 Thornton Taylor Pkwy, Suite A, Fayetteville, TN 37334-3672 2006-10-04
1669436150 Margaret H Taylor Family Medicine 1794 E. Joyce Blvd #2, Fayetteville, AR 72703 2006-04-13
1427253533 Highland Rim Medical Center Family Medicine 2330 Thornton Taylor Pkwy, Suite A, Fayetteville, TN 37334-3630 2007-06-19
1639130008 Subbarao Venkata Pemmaraju Family Medicine 2300 Ramsey St, Vamc, Division of Ltc/geriatrics, 11g, Fayetteville, NC 28301-3856 2006-03-28
1841293149 Cumberland County Hospital Systems, Inc Family Medicine 101 Robeson St, Ste 202, Fayetteville, NC 28301-5520 2005-05-31
1760485080 Ram Mohan Bongu Family Medicine 101 Robeson St, Ste 202, Fayetteville, NC 28301-5520 2005-05-31
1346243664 Joyce E Batson Family Medicine 101 Robeson St, Suite 202, Fayetteville, NC 28301-5552 2005-05-31

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1649765058 Frances Elizabeth Sutton Family Medicine 180 Southwood Dr, Clinton, NC 28328-5002 2018-06-27
1023313855 Triangle Geriatrics & Palliative Medicine, Pllc Family Medicine 1010 Rosehill Ave, Durham, NC 27705-4019 2011-01-26
1306092549 Coastal Mobile Medical Doctor, Pa Family Medicine 203 Stagecoach Dr, Jacksonville, NC 28546-9617 2008-08-07
1457541484 North River Primecare PC Family Medicine 301 Jones Ave, Beaufort, NC 28516-1514 2007-07-26
1790812840 Geridoc LLC Family Medicine 4431 Montibello Dr, Charlotte, NC 28226-7420 2007-02-27
1174658371 Brunswick Gericare PC Family Medicine 602 Thomasboro Road, Calabash, NC 28467-9820 2007-02-21
1952446080 Jeffrey Dean Martin Family Medicine North Carolina Disability Determination Services, 3301 Terminal Dr, Raleigh, NC 27602-0243 2007-02-20
1912048273 Shine Thomas Family Medicine 1601 Brennar Ave, Salisbury, NC 28144-2515 2007-02-09
1982766283 Balaji Pabbu Family Medicine 101 Heart Drive, Mail Stop 654, Greenville, NC 27834 2006-12-14
1417065236 Narender D Arcot Family Medicine 31 Office Park Dr, Jacksonville, NC 28546-3219 2006-08-29
Find all providers with the same taxonomy

Competitor

Search similar providers

City FAYETTEVILLE
Zip Code 28306

Improve Information

Please comment or provide details below to improve the information on GRACEFUL AGING,PC.

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.

Trending Searches