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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | 1609089101 | 05 |
Street Address |
4420 LAKE BOONE TRL |
City | RALEIGH |
State | NC |
Zip Code | 27607-7505 |
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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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 Code | 207RC0200X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Critical Care Medicine |
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. |
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 |
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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.