WAKE RADIOLOGY DIAGNOSTIC IMAGING, INC. (NPI# 1538123450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538123450 |
| Entity Type | Organization |
| Organization Name | WAKE RADIOLOGY DIAGNOSTIC IMAGING, INC. |
| Practice Address |
3949 Browning Pl Raleigh NC 27609-6504 |
| Mailing Address |
Po Box 19368 Raleigh NC 27619-9368 |
| Practice Telephone | 9197877411 |
| Practice Fax Number | 9197894461 |
| Mailing Telephone | 9197877411 |
| Mailing Fax Number | 9197894461 |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2018-02-15 |
| Authorized Official Name | DR. ROBERT EDMUND SCHAAF (PRESIDENT) |
| Authorized Official Telephone | 9197877411 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | CIGNA | 0797174-001 | 01 |
| NC | BLUECROSS BLUESHIELD | 2838 | 01 |
| NC | AETNA | 7092257 | 01 |
| NC | RAILROAD MEDICARE | CC3796 | 01 |
| NC | 7902834 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | WAKE RADIOLOGY DIAGNOSTIC IMAGING, INC. | 3821 Merton Dr Ste 100, Raleigh, NC 27609-6628 |
| Street Address |
3949 BROWNING PL |
| City | RALEIGH |
| State | NC |
| Zip Code | 27609-6504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710959804 | Mark Marchand | Radiology | 3949 Browning Pl, Raleigh, NC 27609-6504 | 2006-02-03 |
| 1851705479 | Monica Baireddy Reddy | Internal Medicine | 3949 Browning Pl, Raleigh, NC 27609-6536 | 2014-06-12 |
| 1689086878 | Ryan Stephens | Radiology | 3949 Browning Pl, Raleigh, NC 27609-6536 | 2014-05-22 |
| 1669883492 | Kaleigh Lindeman Burke | Radiology | 3949 Browning Pl, Raleigh, NC 27609-6536 | 2014-05-14 |
| 1114337524 | Zachary Loverde | Internal Medicine | 3949 Browning Pl, Raleigh, NC 27609-6536 | 2014-05-07 |
| 1750708913 | Ashley Nicole Oladipo | Radiology | 3949 Browning Pl, Raleigh, NC 27609-6536 | 2014-03-26 |
| 1063854354 | Christopher Alan Hallmark | Radiology | 3949 Browning Pl, Raleigh, NC 27609-6536 | 2013-07-26 |
| 1295171940 | Joseph Ifokwe | Internal Medicine | 3949 Browning Pl, Raleigh, NC 27609-6536 | 2013-05-21 |
| 1255774683 | Matthew Douglas Miller | Radiology | 3949 Browning Pl, Raleigh, NC 27609-6536 | 2013-04-16 |
| 1962761007 | Raj Gondalia | Radiology | 3949 Browning Pl, Raleigh, NC 27609-6536 | 2012-05-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184235582 | Choice Service Solutions LLC | In Home Supportive Care | 5300 Six Fox Rd Siite205, Raleigh, NC 27609 | 2020-08-11 |
| 1003426073 | Rosana Oba -rovira | Registered Nurse | 5300 Six Fox Road, Suite 205, Raleigh, NC 27609 | 2020-08-05 |
| 1821612706 | Helen Alexandra Bonner | Physical Medicine & Rehabilitation | Hey Clinic Pa, 3320 Wake Forest Road Ste 450, Raleigh, NC 27609 | 2020-06-05 |
| 1215423579 | Appiah Nana Larbi | Social Worker | Easter Seals Ucp 4000 Wake Forest Rd Ste 200, Raleigh, NC 27609 | 2018-07-10 |
| 1215423777 | Broadway Home Care LLC | In Home Supportive Care | 107 Windel Dr Ste 105, Raleigh, NC 27609 | 2018-07-09 |
| 1275027948 | Lacey Allene Cottingham | Social Worker | 312 W Millbrook Rd Ste 129, Raleigh, NC 27609 | 2018-06-18 |
| 1447748819 | Integrated Dermatology of North Raleigh, Pllc | Dermatology | 3809 Computer Dr Ste 200, Raleigh, NC 27609 | 2018-05-01 |
| 1902325418 | Naomi Christine Askew | Nurse Practitioner | 3400 Wake Forest Drive, Bldg 9, Bldg #9, 4th Floor, Raleigh, NC 27609 | 2017-09-15 |
| 1962929679 | Alexia Montague | Social Worker | 1306 Paddock Drive Suite E-100, Raleigh, NC 27609 | 2017-08-23 |
| 1730602236 | Chantel Washington-mbuthia | Counselor | 1100 Logger Ct. Ste C100, Heartfelt Alternative Inc, Raleigh, NC 27609 | 2017-07-18 |
| Find all providers in zip 27609 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700497492 | Raleigh Radiology Imaging Network, LLC | Radiology | 505 Oberlin Rd Ste 110, Raleigh, NC 27605-1345 | 2020-08-14 |
| 1598956385 | Athena Radiology Solutions | Radiology | 8309 Six Forks Rd, Suite 101, Raleigh, NC 27615-2096 | 2007-08-06 |
| 1174738082 | Janine Beeson | Radiology | 1121 Situs Ct, Ste 170, Raleigh, NC 27606-4279 | 2007-05-14 |
| 1780669986 | John Andrew Bardini | Radiology | 3200 Blue Ridge Rd, Suite 100, Raleigh, NC 27612-8086 | 2005-12-09 |
| 1699769315 | Richard B Clinton | Radiology | 3200 Blue Ridge Rd Ste 100, Raleigh, NC 27612-8087 | 2005-09-08 |
| 1689086878 | Ryan Stephens | Radiology | 3949 Browning Pl, Raleigh, NC 27609-6536 | 2014-05-22 |
| 1326468893 | Nicole A Keefe | Radiology | 3200 Blue Ridge Rd Ste 100, Raleigh, NC 27612-8087 | 2014-04-23 |
| 1750708913 | Ashley Nicole Oladipo | Radiology | 3949 Browning Pl, Raleigh, NC 27609-6536 | 2014-03-26 |
| 1063854354 | Christopher Alan Hallmark | Radiology | 3949 Browning Pl, Raleigh, NC 27609-6536 | 2013-07-26 |
| 1073855318 | Sejal Narendra Patel | Radiology | 3400 Wake Forest Rd, Raleigh, NC 27609 | 2013-03-25 |
| 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.