METROPOLITAN ENT & ALLERGY CENTRE (NPI# 1508867417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508867417 |
| Entity Type | Organization |
| Organization Name | METROPOLITAN ENT & ALLERGY CENTRE |
| Practice Address |
2011 Falls Valley Dr Suite 100 Raleigh NC 27615-3451 |
| Practice Telephone | 9195327900 |
| Practice Fax Number | 9195327901 |
| Mailing Telephone | 9195327900 |
| Mailing Fax Number | 9195327901 |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. IRA DAVID VRETZKY (MD/OWNER) |
| Authorized Official Telephone | 9195327900 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207KA0200X |
Allergy & Immunology Specialization: Allergy |
9900716 | NC | Allopathic & Osteopathic Physicians |
| X | 207Y00000X | Otolaryngology | 9900706 | NC | Allopathic & Osteopathic Physicians |
| X | 207YS0123X |
Otolaryngology Specialization: Facial Plastic Surgery |
9900706 | NC | Allopathic & Osteopathic Physicians |
| X | 231H00000X | Audiologist | 3212 | NC | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 89095NM | 05 | |
| NC | BCBS | 134E1 | 01 |
| Street Address |
2011 FALLS VALLEY DR SUITE 100 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27615-3451 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740763572 | Lourdes Elena Schertz | Nurse Practitioner | 2011 Falls Valley Dr, Raleigh, NC 27615-3451 | 2018-09-07 |
| 1477687242 | Gastrointestinal Healthcare Pa | Clinic/Center | 2011 Falls Valley Dr, Ste 106, Raleigh, NC 27615-3451 | 2007-03-15 |
| 1528015534 | Gastrointestinal Healthcare Pa | Internal Medicine | 2011 Falls Valley Dr, Suite 106, Raleigh, NC 27615-3451 | 2006-05-27 |
| 1760438824 | Robert Norment Harper Jr. | Internal Medicine | 2011 Falls Valley Dr, Suite 106, Raleigh, NC 27615-3451 | 2006-05-26 |
| 1801842976 | Boris Cvetkovski | Internal Medicine | 2011 Falls Valley Dr, Suite 106, Raleigh, NC 27615-3452 | 2006-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588278535 | Emily Grace Johnson | Behavior Technician | 119 Wind Chime Court, Suite 4, Raleigh, NC 27615 | 2020-09-06 |
| 1730706110 | Maja V Martin, Dds, Pa1 | Clinic/Center | 7371 Six Forks Road, Raleigh, NC 27615 | 2020-07-01 |
| 1972146967 | Atlantic Avenue Pharmaceutical, Inc | Pharmacy | 5621 Atlantic Ave, Suite 103, Raleigh, NC 27615 | 2019-10-22 |
| 1023503950 | Siyara Shannay Dobbs | Social Worker | 7013 Woodbend Dr Apt H, Raleigh, NC 27615 | 2018-06-23 |
| 1194210153 | Brittanie Ja'nell Harris | Dentist | 1911 Falls Valley Dr Ste 107, Raleigh, NC 27615 | 2018-06-22 |
| 1710489448 | Sherise Swensen | Social Worker | 8368 Six Forks Road, Suite 101, Raleigh, NC 27615 | 2018-03-08 |
| 1881100345 | Casey Paul Baine | Counselor | 6330 Falls of Neuse Rd Ste 104, Raleigh, NC 27615 | 2017-12-20 |
| 1588177885 | Michael Lacidonia | Acupuncturist | 6400 Falls of Neuse Rd Ste 200, Raleigh, NC 27615 | 2017-11-08 |
| 1457877631 | Matt Henderson | Behavioral Analyst | 8374 Six Forks Road, Suite 101, Raleigh, NC 27615 | 2017-08-18 |
| 1760907646 | Shakeda Muldrow | Social Worker | 7323 Brookbank Lane, Raleigh, NC 27615 | 2017-08-11 |
| Find all providers in zip 27615 | ||||
| Taxonomy Code | 207KA0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| Specialization | Allergy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083854251 | Blue Ridge Healthcare Medical Group, Inc. | Allergy & Immunology | 352-b East Parker Road, Morganton, NC 28655 | 2009-03-02 |
| 1821037524 | Vandana K. Patel | Allergy & Immunology | 8045 Providence Rd, Suite 300, Charlotte, NC 28277-8915 | 2006-06-06 |
| 1285697789 | Peter B. Bressler Md Pa | Allergy & Immunology | 5915 Farrington Rd, Suite 106, Chapel Hill, NC 27517-9900 | 2006-04-07 |
| 1275506909 | James Zechman | Allergy & Immunology | 2417 Neuse Blvd, New Bern, NC 28562-3331 | 2006-02-13 |
| 1336129410 | Robert Christopher Van Winkle | Allergy & Immunology | 3201 Brassfield Rd, Suite 400, Greensboro, NC 27410-9682 | 2006-01-17 |
| 1639493026 | Allergy & Asthma Associates Pa | Allergy & Immunology | 912 2nd St Ne, Hickory, NC 28601-3851 | 2010-03-15 |
| 1598916777 | Cape Fear Otolaryngology, Pa | Allergy & Immunology | 2053 Valleygate Drive, Suite 101, Fayetteville, NC 28304-3688 | 2008-10-06 |
| 1457513137 | Melissa L Pabalan | Allergy & Immunology | 3643 N Roxboro St, Durham, NC 27704-2702 | 2008-06-25 |
| 1578759593 | James M Zechman PC | Allergy & Immunology | 2417 Neuse Blvd, New Bern, NC 28562 | 2007-09-24 |
| 1417005034 | Ranjan Sharma | Allergy & Immunology | 3201 Brassfield Rd, Suite 400, Greensboro, NC 27410-9682 | 2007-01-08 |
| 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.