REX PHYSICIANS LLC (NPI# 1598060808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598060808 |
Entity Type | Organization |
Organization Name | REX PHYSICIANS LLC |
Other Organization Name | WAKE HEART AND VASCULAR ASSOCIATES |
Practice Address |
3000 New Bern Ave Suite G-100 Raleigh NC 27610-1231 |
Practice Telephone | 9192318253 |
Practice Fax Number | 9192319546 |
Mailing Telephone | 9192318253 |
Mailing Fax Number | 9192319546 |
Enumeration Date | 2011-01-18 |
Last Update Date | 2011-10-17 |
Authorized Official Name | BERNADETTE M SPONG (CFO) |
Authorized Official Telephone | 9197843245 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
Allopathic & Osteopathic Physicians | ||
N | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
Allopathic & Osteopathic Physicians | ||
Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 5916883 | 05 | |
NC | 5917272 | 05 | |
NC | 89016J0 | 05 |
Other Name | Type Code |
---|---|
Wake Heart and Vascular Associates | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134464597 | Rex Physicians LLC | Neurological Surgery | 4207 Lake Boone Trl, Suite 220, Raleigh, NC 27607-6684 | 2012-12-11 |
1548510407 | Rex Physicians LLC | Audiologist | 790 Se Cary Pkwy, Suite 110, Cary, NC 27511-5678 | 2012-09-18 |
1457621765 | Rex Physicians LLC | Surgery | 2800 Blue Ridge Rd, Suite 300, Raleigh, NC 27607-6478 | 2012-01-03 |
1134424062 | Rex Physicians LLC | Specialist | 910 Berkshire Rd, Smithfield, NC 27577-4751 | 2011-01-25 |
1063716447 | Rex Physicians LLC | Internal Medicine | 2800 Blue Ridge Rd, Suite 201, Raleigh, NC 27607-6478 | 2010-12-29 |
1831402874 | Rex Physicians LLC | Surgery | 2800 Blue Ridge Rd, Suite 503, Raleigh, NC 27607-6478 | 2010-07-20 |
1710213160 | Rex Physicians LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2800 Blue Ridge Road, Suite 403, Raleigh, NC 27607-6476 | 2009-10-20 |
1316273774 | Rex Physicians LLC | Internal Medicine | 4420 Lake Boone Trl, Raleigh, NC 27607-7505 | 2009-10-20 |
1881829018 | Rex Physicians LLC | Surgery | 2800 Blue Ridge Rd, Suite 503, Raleigh, NC 27607-6477 | 2009-05-18 |
Street Address |
3000 NEW BERN AVE SUITE G-100 |
City | RALEIGH |
State | NC |
Zip Code | 27610-1231 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972508661 | George Rayburn Cheely | Internal Medicine | 3000 New Bern Ave, Ste 1200, Raleigh, NC 27610-1231 | 2005-06-17 |
1811507700 | Erika Barbosa Richard | Registered Nurse | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2020-08-05 |
1790395846 | Dana Sroka Thomson | Physical Therapist | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2020-08-04 |
1477163756 | Sarah Anne Schwisow | Registered Nurse | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2020-08-03 |
1831708486 | Andrew Yoon | Physician Assistant | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2020-07-29 |
1770104622 | Sonya Zaghloul | Speech-Language Pathologist | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2020-05-01 |
1871121269 | Bethany Shaffer Flinchum | Clinic/Center | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2020-03-31 |
1326674789 | Thomas Mellette | Dietitian, Registered | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2020-03-18 |
1457986234 | Rose Meitzen | Nurse Practitioner | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2020-03-11 |
1932733847 | Olga Sushkevich | Dietitian, Registered | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2020-02-29 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609499243 | Elizabeth Ranganai Mavindidze | Social Worker | Wakemed Health and Hospitals, 3000 New Bern Avenue, Raleigh, NC 27610 | 2020-05-18 |
1851958839 | Alex & Associates, P.C. | Dentist | 1600 Cross Link Road, Unit 103, Raleigh, NC 27610 | 2019-05-24 |
1639646367 | Carol Mary Medins | Dietitian, Registered | Wakemed Raleigh Medical Park, 23 Sunnybrook Road, Suite 200, Raleigh, NC 27610 | 2018-10-31 |
1144714601 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 123 Sunnybrook Rd Ste 150, Raleigh, NC 27610 | 2018-06-19 |
1417446006 | Eagles Eye Lab, Inc | Clinical Medical Laboratory | 4501 New Bern Ave, Ste: 130, Raleigh, NC 27610 | 2018-05-09 |
1316465206 | Jeffery King Neer | Social Worker | 3010 Falstaff Rd., C/o Unc Actt, Raleigh, NC 27610 | 2017-08-31 |
1083139885 | Kelsey Daniel Mccleave | Social Worker | 3630 Enduring Freedom Drive, Raleigh, NC 27610 | 2017-08-14 |
1891219093 | Tarheel Residential Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4840 Quarryman Road, Raleigh, NC 27610 | 2017-07-29 |
1508214826 | Compassionate Care Providers LLC | Respite Care | 5110 Wetlands, Raleigh, NC 27610 | 2016-05-26 |
1730552530 | Matthew Belair | Pharmacist | 1601-51 Cross Link Rd, Raleigh, NC 27610 | 2015-11-03 |
Find all providers in zip 27610 |
Taxonomy Code | 207RC0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Cardiovascular Disease |
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841713187 | Wake Specialty Physicians LLC | Internal Medicine | 3000 New Bern Ave Ste 1200, Raleigh, NC 27610-1231 | 2017-07-19 |
1407919285 | Angelo Milazzo | Internal Medicine | 3713 Benson Dr Ste 202, Raleigh, NC 27609-7372 | 2006-12-19 |
1639253529 | James Wilson Peterson | Internal Medicine | 3320 Wake Forest Rd., Suite 200, Raleigh, NC 27609 | 2006-10-25 |
1821010067 | Walter Tan | Internal Medicine | 3000 New Bern Ave Ste 1100, Wpp - Structural Heart, Raleigh, NC 27610-1231 | 2006-07-24 |
1164485033 | Glenndale Moore | Internal Medicine | 2949 New Bern Ave, Suite 112-a, Raleigh, NC 27610-1248 | 2006-04-10 |
1881680098 | Joseph Anthony Guzzo | Internal Medicine | 4201 Lake Boone Trl, Suite 104, Raleigh, NC 27607-7512 | 2005-09-22 |
1972508661 | George Rayburn Cheely | Internal Medicine | 3000 New Bern Ave, Ste 1200, Raleigh, NC 27610-1231 | 2005-06-17 |
1245235506 | Sagir Ahmed | Internal Medicine | 3811 Ed Dr, Suite 130, Raleigh, NC 27612-2392 | 2005-06-14 |
1104480532 | Wakemed Specialists Group, LLC | Internal Medicine | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2019-05-01 |
1720643174 | Wakemed Specialists Group, LLC | Internal Medicine | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2019-05-01 |
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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.