DR. ADAM MICHAEL PETERIK


Address: 4420 Lake Boone Trl, Raleigh, NC 27607-7505
Phone: 9197843028

DR. ADAM MICHAEL PETERIK (NPI# 1609089101) 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) 1609089101
Entity Type Individual
Full Name DR. ADAM MICHAEL PETERIK
Credential DO
Practice Address 4420 Lake Boone Trl
Raleigh
NC 27607-7505
Mailing Address 6917 Bartons Bend Way
Raleigh
NC 27614-7683
Practice Telephone 9197843028
Practice Fax Number 9197065219
Mailing Telephone 9199099040
Mailing Fax Number 9197065219
Enumeration Date 2007-05-08
Last Update Date 2018-02-19
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RC0200X Internal Medicine
Specialization: Critical Care Medicine
OS14196 FL Allopathic & Osteopathic Physicians
N 207RC0200X Internal Medicine
Specialization: Critical Care Medicine
5101020161 MI Allopathic & Osteopathic Physicians
Y 207RC0200X Internal Medicine
Specialization: Critical Care Medicine
201000457 NC Allopathic & Osteopathic Physicians
N 207RC0200X Internal Medicine
Specialization: Critical Care Medicine
8860 OH Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MI 1609089101 05

Office Location

Street Address 4420 LAKE BOONE TRL
City RALEIGH
State NC
Zip Code 27607-7505

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225035405 Karen Kinney Schneider Nurse Practitioner 4420 Lake Boone Trl, Wound Healing Center, Raleigh, NC 27607-7505 2005-07-05
1700486685 Cameron Blake Little Nurse Practitioner 4420 Lake Boone Trl, Raleigh, NC 27607-7505 2020-10-29
1942811278 Whitney Dale Marks Nurse Practitioner 4420 Lake Boone Trl, Raleigh, NC 27607-7505 2020-08-11
1447869359 Daneille Barbara Hamlin Audiologist 4420 Lake Boone Trl, Raleigh, NC 27607-7505 2020-07-27
1427675057 Robert Brinson Mitchell IIi Nurse Anesthetist, Certified Registered 4420 Lake Boone Trl, Raleigh, NC 27607-7505 2020-06-30
1912523457 Driss Zine Nurse Practitioner 4420 Lake Boone Trl, Raleigh, NC 27607-7505 2020-06-21
1619599081 Kai Kang Pharmacist 4420 Lake Boone Trl, Raleigh, NC 27607-7505 2020-05-08
1487281671 Allison Tharakan Pharmacist 4420 Lake Boone Trl, Raleigh, NC 27607-7505 2020-03-26
1598391435 Gerald Shane Taylor Registered Nurse 4420 Lake Boone Trl, Raleigh, NC 27607-7505 2020-03-22
1982230140 Catherine Parks Chantrill Registered Nurse 4420 Lake Boone Trl, Raleigh, NC 27607-7505 2020-03-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972093144 Kyndra Lawson Behavior Technician 5121 Kingdom Way, Suite 100, Raleigh, NC 27607 2018-05-14
1578082905 Margaret Roberts Bova Dietitian, Registered 4207 Lake Boone Trail, Suite 210, Raleigh, NC 27607 2017-09-18
1184141897 Chricat Garrard Nurse Practitioner 4207 Lake Boone Trl Ste 200, Raleigh, NC 27607 2017-08-23
1487178620 John Patrick Morton Pharmacist 2411 Landmark Dr, Raleigh, NC 27607 2017-07-31
1023538857 Heather Margaret Mazzola Audiologist 7800 Lake Boone Trail, 100, Raleigh, NC 27607 2017-06-22
1790216984 North Carolina Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 2411 Landmark Drive, Raleigh, NC 27607 2017-03-21
1558819516 Corilin Nocito Meggitt Nurse Practitioner 4505 Fair Meadows Ln Ste 102, Raleigh, NC 27607 2016-09-19
1942757034 Stacie Walker Obstetrics & Gynecology 4414 Lake Boone Trl Ste 311, Raleigh, NC 27607 2016-09-06
1831644533 Alisa Smajlagic Howe Nurse Practitioner 4210 Lake Boone Trail, Rex Rehab & Nursing Center, Raleigh, NC 27607 2016-08-23
1235598632 Yoseph Saleh Dentist 107 Minden Ln, Raleigh, NC 27607 2016-02-15
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Taxonomy Information

Taxonomy Code 207RC0200X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Critical Care Medicine

Taxonomy Definition

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134548811 Trevor Taylor Internal Medicine 3000 New Bern Ave Ste 1140, Raleigh, NC 27610-1231 2014-04-10
1538723184 Wakemed Specialists Group, LLC Internal Medicine 3000 New Bern Ave, Raleigh, NC 27610-1231 2019-04-30
1922348242 Advanced Respiratory and Sleep Medicine, Pllc Internal Medicine 8315 Six Forks Rd, Suite 101, Raleigh, NC 27615-2941 2013-02-22
1568758365 Wakemed Faculty Practice Plan Internal Medicine 3024 New Bern Ave, Raleigh, NC 27610-1247 2011-06-21
1457654972 North Raleigh Sleep Center Pllc Internal Medicine 5720 Creedmoor Rd, Suite 203, Raleigh, NC 27612-2256 2010-12-06
1669662201 Wissam Bader Mansour Internal Medicine 3024 New Bern Ave, G03, Raleigh, NC 27610-1247 2007-07-30
1235339599 Hiren Harshadray Mehta Internal Medicine 3000 New Bern Ave, Wakemed, Raleigh, NC 27610-1231 2007-07-24
1609088970 Darrin R Hursey Internal Medicine 3024 New Bern Avenue, Raleigh, NC 27610 2007-05-07
1831246180 James Randall Lakey Internal Medicine 3024 New Bern Ave, Suite G03, Raleigh, NC 27610-1247 2007-01-05
1871691139 Rohit Ahuja Internal Medicine 2800 Blue Ridge Rd, Suite 201, Raleigh, NC 27607-6478 2006-09-20
Find all providers in RALEIGH

Competitor

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City RALEIGH
Zip Code 27607

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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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