RALEIGH DURHAM MEDICAL GROUP, PA (NPI# 1518918259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518918259 |
| Entity Type | Organization |
| Organization Name | RALEIGH DURHAM MEDICAL GROUP, PA |
| Other Organization Name | NORTH RALEIGH PEDIATRIC GROUP |
| Practice Address |
7205 Stonehenge Dr Raleigh NC 27613-1649 |
| Mailing Address |
5420 Wade Park Blvd Ste 106 Raleigh NC 27607-4188 |
| Practice Telephone | 9198482229 |
| Practice Fax Number | 9198488238 |
| Mailing Telephone | 9192335952 |
| Mailing Fax Number | 9198547774 |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2014-02-05 |
| Authorized Official Name | DAVID K MOYE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9198512174 |
| Is Organization Subpart | Y |
| Parent Organization Name | RALEIGH DURHAM MEDICAL GROUP PA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS | 0237N | 01 |
| NC | 5900360 | 05 |
| Other Name | Type Code |
|---|---|
| North Raleigh Pediatric Group | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720458326 | Raleigh Durham Medical Group, Pa | Nurse Practitioner | 4748 Main Street, Shallotte, NC 28470 | 2015-09-25 |
| 1437553302 | Raleigh Durham Medical Group, Pa | Family Medicine | 620 Dr Calvin Jones Highway, Ste 212, Wake Forest, NC 27587 | 2014-10-21 |
| 1891025243 | Raleigh Durham Medical Group, Pa | Family Medicine | 220 Ridgefield Ct, Asheville, NC 28806-2209 | 2010-01-07 |
| 1932661246 | Raleigh Durham Medical Group, Pa | Pediatrics | 8300 Health Park Ste 213, Raleigh, NC 27615-4731 | 2019-04-04 |
| 1013371061 | Raleigh Durham Medical Group, Pa | Physician Assistant | 410 Canterbury Rd, Smithfield, NC 27577-4861 | 2016-04-06 |
| 1902264435 | Raleigh Durham Medical Group, Pa | Physician Assistant | 10620 Park Rd, Suite 128, Charlotte, NC 28210-8472 | 2016-01-28 |
| 1023473519 | Raleigh Durham Medical Group, Pa | Nurse Practitioner | 304 S Green St, Morganton, NC 28655-3578 | 2015-12-28 |
| 1609248723 | Raleigh Durham Medical Group, Pa | Pediatrics | 10010 Falls of Neuse Rd, Ste 100, Raleigh, NC 27614-8494 | 2015-10-28 |
| 1518335447 | Raleigh Durham Medical Group, Pa | Family Medicine | 3164 Us Highway 70, Black Mountain, NC 28711-6302 | 2015-09-09 |
| 1407252505 | Raleigh Durham Medical Group, Pa | Family Medicine | 1038 Albemarle Rd, Troy, NC 27371-8684 | 2014-11-17 |
| Street Address |
7205 STONEHENGE DR |
| City | RALEIGH |
| State | NC |
| Zip Code | 27613-1649 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962453464 | R Everett Frerichs | Pediatrics | 7205 Stonehenge Dr, Raleigh, NC 27613-1649 | 2006-05-12 |
| 1316334766 | Pamela Golden | Pediatrics | 7205 Stonehenge Dr, Raleigh, NC 27613-1649 | 2015-04-23 |
| 1962758623 | Beverly Peden Schnick | Registered Nurse | 7205 Stonehenge Dr, Raleigh, NC 27613-1649 | 2012-07-31 |
| 1689802787 | Kunjan Shakya | Pediatrics | 7205 Stonehenge Dr, Raleigh, NC 27613-1649 | 2009-06-26 |
| 1447461314 | Susan Mary Kirwan | Nurse Practitioner | 7205 Stonehenge Dr, Raleigh, NC 27613-1649 | 2007-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588124358 | Arend Klooster Dds II, Pllc | Dentist | 3721 Lynn Rd. #120, Raleigh, NC 27613 | 2019-03-20 |
| 1205319647 | Publix North Carolina, Lp | Durable Medical Equipment & Medical Supplies | 9640 Leesville Rd, Raleigh, NC 27613 | 2018-09-12 |
| 1386137735 | Maitlyn Avery Betts | Specialist/Technologist | 8421 Two Courts Drive, Raleigh, NC 27613 | 2018-06-11 |
| 1811492382 | Malek & Knight Dds Pa-iil | Dentist | 9201 Leesville Rd Ste 101, Raleigh, NC 27613 | 2018-03-27 |
| 1285151860 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 13300 Stickland Rd, Raleigh, NC 27613 | 2017-08-24 |
| 1376072165 | Caitlin Ann Singleton | Dentist | 13220 Strickland Rd Ste 166, Raleigh, NC 27613 | 2017-06-06 |
| 1508246547 | Jonathan Kent Weisner | Dentist | 13271 Strickland Rd, Raleigh, NC 27613 | 2015-06-04 |
| 1245620806 | Kimberly Szwed | Nurse Practitioner | 6422 Rosny Road, Raleigh, NC 27613 | 2015-02-03 |
| 1174957831 | Laurin Ballowe Collier | Pharmacist | 9640 Leesville Road, Raleigh, NC 27613 | 2013-08-29 |
| 1952655144 | Phillip Colby Smith | Marriage & Family Therapist | 6921 Springcreek Cv Apt 22, Raleigh, NC 27613 | 2012-11-09 |
| Find all providers in zip 27613 | ||||
| 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 |
| 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.