MICHAEL C FAJGENBAUM, MD PA (NPI# 1629346069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629346069 |
| Entity Type | Organization |
| Organization Name | MICHAEL C FAJGENBAUM, MD PA |
| Practice Address |
3410 Executive Dr Suite 103 Raleigh NC 27609-7450 |
| Practice Telephone | 9198725296 |
| Practice Fax Number | 9198509718 |
| Mailing Telephone | 9198725296 |
| Mailing Fax Number | 9198509718 |
| Enumeration Date | 2011-12-13 |
| Last Update Date | 2011-12-13 |
| Authorized Official Name | MICHAEL C FAJGENBAUM (OWNER) |
| Authorized Official Telephone | 9198725296 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 32359 | NC | Allopathic & Osteopathic Physicians |
| Street Address |
3410 EXECUTIVE DR SUITE 103 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27609-7450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417927435 | David Atwell Rendleman IIi | Orthopaedic Surgery | 3410 Executive Dr, Suite 103, Raleigh, NC 27609-7450 | 2006-01-23 |
| 1295274942 | Kelley Millen | Physical Therapist | 3410 Executive Dr, #205, Raleigh, NC 27609-7450 | 2017-02-14 |
| 1366890873 | Kimberly Kurtz | Physical Therapist | 3410 Executive Dr, Ste 205, Raleigh, NC 27609-7450 | 2016-05-25 |
| 1134585409 | James Michael Coll Jr. | Physician Assistant | 3410 Executive Dr, #103, Raleigh, NC 27609-7450 | 2016-01-02 |
| 1053715375 | Hardayal Singh Md Pa | Orthopaedic Surgery | 3410 Executive Dr, Suite 103, Raleigh, NC 27609-7450 | 2014-10-15 |
| 1225306327 | Fred Benedict, Md Pllc | Orthopaedic Surgery | 3410 Executive Dr, Suite 103, Raleigh, NC 27609-7450 | 2011-12-05 |
| 1740567551 | Idler Spine, Pllc | Orthopaedic Surgery | 3410 Executive Dr, Suite 103, Raleigh, NC 27609-7450 | 2011-11-08 |
| 1649444134 | P L Burroughs IIi Md Pa | Orthopaedic Surgery | 3410 Executive Dr, Ste 103, Raleigh, NC 27609-7457 | 2008-04-16 |
| 1952575425 | Michael C Comstock Md | Specialist | 3410 Executive Dr, Ste 103, Raleigh, NC 27609-7457 | 2008-04-16 |
| 1942479050 | David M Fajgenbaum Md Pa | Specialist | 3410 Executive Dr, Suite #103, Raleigh, NC 27609-7457 | 2008-02-22 |
| 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 | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376108522 | Wakemed Specialists Group, LLC | Orthopaedic Surgery | 8001 T W Alexander Dr Ste 224, Raleigh, NC 27617-4884 | 2019-05-03 |
| 1669797353 | Tyler Steven Watters | Orthopaedic Surgery | 3001 Edwards Mill Road, Suite 200, Raleigh, NC 27612-5243 | 2010-04-06 |
| 1881740405 | Andre Grant | Orthopaedic Surgery | 3480 Wake Forest Road, Suite 204, Raleigh, NC 27609 | 2007-01-26 |
| 1629127634 | Robert Esposito | Orthopaedic Surgery | 5620 Six Forks Rd Ste 104, Raleigh, NC 27609-8619 | 2007-01-09 |
| 1558313478 | Raleigh Hand To Shoulder Center Pa | Orthopaedic Surgery | 3701 Wake Forest Rd Ste 3100, Raleigh, NC 27609-6832 | 2006-05-17 |
| 1477523876 | Lloyd A Hey | Orthopaedic Surgery | 3320 Wake Forest Rd Ste 450, Raleigh, NC 27609 | 2006-01-26 |
| 1417927435 | David Atwell Rendleman IIi | Orthopaedic Surgery | 3410 Executive Dr, Suite 103, Raleigh, NC 27609-7450 | 2006-01-23 |
| 1487647632 | Alfonza Teel | Orthopaedic Surgery | 3100 Duraleigh Rd Ste 100, Raleigh, NC 27612-8105 | 2005-08-23 |
| 1467455832 | Jon Kolkin | Orthopaedic Surgery | 3404 Wake Forest Rd, Ste 303, Raleigh, NC 27609-7341 | 2005-05-31 |
| 1003819434 | James R Post | Orthopaedic Surgery | 3701 Wake Forest Rd, Suite 100, Raleigh, NC 27609-6832 | 2005-05-31 |
| 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.