MARIA D IBACH


Address: 10941 Raven Ridge Rd, Ste 105, Raleigh, NC 27614-6487
Phone: 9192350543

MARIA D IBACH (NPI# 1346296795) 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) 1346296795
Entity Type Individual
Full Name MARIA D IBACH
Credential PA
Practice Address 10941 Raven Ridge Rd
Ste 105
Raleigh
NC 27614-6487
Mailing Address 5400 Trinity Rd
Ste 105
Raleigh
NC 27607-6001
Practice Telephone 9192350543
Practice Fax Number 9192350542
Mailing Telephone 9198512174
Mailing Fax Number 9198547774
Enumeration Date 2006-05-26
Last Update Date 2013-04-09
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 103988 NC Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL 007856100 05

Office Location

Street Address 10941 RAVEN RIDGE RD
STE 105
City RALEIGH
State NC
Zip Code 27614-6487

Providers in the same location

NPI Name Taxonomy Address Enumeration
1669477691 Tammy L. Hilbert Obstetrics & Gynecology 10941 Raven Ridge Rd, Suite 109, Raleigh, NC 27614-6487 2005-06-16
1093177404 Hereditary Care Center Genetic Counselor, MS 10941 Raven Ridge Rd, Suite 107, Raleigh, NC 27614-6487 2016-03-24
1396103222 Amanda Elaine Tattersall Nurse Practitioner 10941 Raven Ridge Rd, Raleigh, NC 27614-6487 2016-02-06
1467899633 Heath B Brantley Dentist 10941 Raven Ridge Rd, Raleigh, NC 27614-6487 2013-05-29
1265764849 Alyssa Joan Hoffmann Nurse Practitioner 10941 Raven Ridge Rd, Suite 105, Raleigh, NC 27614-6487 2010-02-05
1205081478 Stepping Stones Pediatrics, Pllc Clinic/Center 10941 Raven Ridge Rd, Suite 105, Raleigh, NC 27614-6487 2008-12-01
1225218910 Michael Law Md Pa Specialist 10941 Raven Ridge Rd, Suite 103, Raleigh, NC 27614-6487 2007-11-09
1043409352 Bobbie Jo Peterson Nurse Practitioner 10941 Raven Ridge Rd, Suite 103, Raleigh, NC 27614-6487 2007-10-23
1447463310 Roger D Urlaub Dds Pa Clinic/Center 10941 Raven Ridge Rd, #115, Raleigh, NC 27614-6487 2007-05-08
1982725933 Dr. Craig Q. Adams Dmd Dentist 10941 Raven Ridge Rd, Ste 101, Raleigh, NC 27614-6487 2007-04-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215419379 Patrick Orion Finn Family Medicine 10010 Falls of The Neuse Rd, Suite 11, Raleigh, NC 27614 2018-09-05
1538652557 Amn Medical Group Pllc General Practice 13200 Falls of Neuse Rd Ste 113, Raleigh, NC 27614 2018-06-13
1497201727 Kelsey Scheerer Student in an Organized Health Care Education/Training Program 11200 Governor Way, Raleigh, NC 27614 2016-08-28
1538521463 Liane Rudd Speech-Language Pathologist 4700 Norbury Place, Raleigh, NC 27614 2016-03-21
1891088068 Michelle Lynn Thompson Pharmacist 10930 Raven Ridge Road, Raleigh, NC 27614 2011-05-22
1821396185 Bettye Jo Johnson Physical Medicine & Rehabilitation 11200 Governor Manly Way, Suite 305, Orhopaedic Specialists of North Carolina, Pa, Raleigh, NC 27614 2011-03-09
1982900650 Blake Jennings Lamm Pharmacist 14460 New Falls of Neuse Rd, Suite 165, Raleigh, NC 27614 2011-01-28
1013223023 Lauren S Lawler Pharmacist 11201 Durant Road, Raleigh, NC 27614 2010-08-27
1588985378 Kashif Mazhar General Acute Care Hospital 10010 Falls of Neuse Road, Suite #12, Raleigh, NC 27614 2010-06-16
1922240100 Harris Teeter, LLC Durable Medical Equipment & Medical Supplies 14520 John Rex Blvd, Raleigh, NC 27614 2009-04-02
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457961682 Megan Kathleen Brown Physician Assistant 3024 New Bern Ave Ste 102, Raleigh, NC 27610-1247 2020-08-03
1124640651 Kayla Marie Sincock Physician Assistant 12205 Harcourt Dr, Raleigh, NC 27613-5603 2020-05-06
1093340531 Hannah Stanifer Physician Assistant 510 N Wilmington St Apt 227, Raleigh, NC 27604-8021 2020-03-05
1962035642 Brianna Stolz Physician Assistant 3811 Ed Dr Ste 110, Raleigh, NC 27612-2393 2020-02-20
1316577737 Jacey Elizabeth Byers Physician Assistant 700 Hawes Ct Apt C, Raleigh, NC 27608-1745 2020-01-24
1033756598 Julie A Romeis Physician Assistant 1929 N Hills Dr Unit G, Raleigh, NC 27612-4022 2019-12-04
1346886769 Pooja Parmar Physician Assistant 8804 Bluff Pointe Ct, Raleigh, NC 27615-4172 2019-11-20
1649829557 Bryan Edwards Physician Assistant 4551 New Bern Ave Ste A100, Raleigh, NC 27610-1551 2019-09-04
1790343192 Savanah Palen Mullen Physician Assistant 10208 Cerny St Ste 204, Raleigh, NC 27617-7885 2019-05-31
1356906184 Andrew Paul Apicella Physician Assistant 3024 New Bern Ave Ste 302, Raleigh, NC 27610-1247 2019-05-07
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Competitor

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City RALEIGH
Zip Code 27614

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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.

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