VALLEY RADIOLOGY AT ANGIER LLC (NPI# 1689854812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689854812 |
| Entity Type | Organization |
| Organization Name | VALLEY RADIOLOGY AT ANGIER LLC |
| Practice Address |
169 Rawls Rd. Angier NC 27501 |
| Practice Telephone | 9193312001 |
| Practice Fax Number | 9193312003 |
| Mailing Telephone | 9193312001 |
| Mailing Fax Number | 9193312003 |
| Enumeration Date | 2007-11-05 |
| Last Update Date | 2014-08-27 |
| Authorized Official Name | DR. MAX H FAYKUS (PRESIDENT) |
| Authorized Official Telephone | 9104865700 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
========= | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | MEDICARE | 204310 | 01 |
| NC | 8901572 | 05 | |
| BCBS | 01572 | 01 | |
| NC | PHP | 1630307 | 01 |
| NC | SC MEDICAID | QPA797 | 01 |
| Street Address |
169 RAWLS RD. |
| City | ANGIER |
| State | NC |
| Zip Code | 27501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356991004 | Amelia Ann Weaver | Technician | 2622 Oak Grove Ch. Rd Amelia Ann Weaver, Angier, NC 27501 | 2019-09-16 |
| 1477115061 | Meena Park Lee | Dentist | 15 Rawls Church Rd, Angier, NC 27501 | 2019-07-03 |
| 1598118465 | Nancy Harte | Counselor | 728 N. Raleigh Street, Suite C, Angier, NC 27501 | 2016-07-15 |
| 1780987321 | Phlebotomy Training Institute & Resource | Technician, Pathology | 120 N. Broad St. East Unit A-1, Angier, NC 27501 | 2010-12-20 |
| 1568785194 | United Family Care Inc. | Custodial Care Facility | 10183 Highway 210 North, Angier, NC 27501 | 2010-03-10 |
| 1689865958 | United Family Network At Willow Springs | Residential Treatment Facility, Emotionally Disturbed Children | 1259 Ridge Road, Antier, NC 27501 | 2007-08-05 |
| 1245376714 | Primrose Villa | Assisted Living Facility | 431 Junny Road, Angier, NC 27501 | 2007-01-30 |
| 1508917592 | Lane and Associates IIi, Dds Pa | Dentist | 15 Rawls Road, Suite 200 Box 160, Angier, NC 27501 | 2007-01-16 |
| 1407903743 | Amber Renn | Physician Assistant | 185 Rawls Road, Angier, NC 27501 | 2007-01-05 |
| 1184738163 | Angier Discount Drug Inc | Pharmacy | 253 N Raliegh Street, Angier, NC 27501 | 2006-08-18 |
| Find all providers in zip 27501 | ||||
| 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 |
|---|---|---|---|---|
| 1700490232 | Wake Forest Baptist Imaging, LLC | Radiology | 861 Old Winston Rd Ste 105, Kernersville, NC 27284-7141 | 2020-09-02 |
| 1770195166 | Sonocare, LLC | Radiology | 2579 Chimney Rock Rd Fl 2, Hendersonville, NC 28792-9181 | 2020-08-18 |
| 1700497492 | Raleigh Radiology Imaging Network, LLC | Radiology | 505 Oberlin Rd Ste 110, Raleigh, NC 27605-1345 | 2020-08-14 |
| 1144831611 | Raleigh Radiology Enterprises, LLC | Radiology | 101 Lattner Ct Ste 101, Morrisville, NC 27560-9584 | 2020-08-10 |
| 1245859453 | Triad Breast Imaging Center, LLC | Radiology | 3515 W Market St Ste 320, Greensboro, NC 27403-4438 | 2020-04-09 |
| 1265065098 | Dylan Moore | Radiology | 69 Beechwood Rd, Asheville, NC 28805-2329 | 2020-02-20 |
| 1346898632 | Mohamed Khalif Osman Warfa | Radiology | Diagnostic Radiology, Wake Forest School of Medicine, 1 Medical Boulevard, Winston-salem, NC 27157-0001 | 2019-08-29 |
| 1568023190 | Bay Imaging Consultants Medical Group Inc | Radiology | 1226 Brickfield Dr., Cary, NC 27519 | 2019-06-25 |
| 1942781455 | Mcpc-19, LLC | Radiology | 2919 Beechtree Dr Ste 1200, Sanford, NC 27330-6934 | 2018-08-23 |
| 1235619321 | Sonocare, LLC | Radiology | 611 Mocksville Ave Ste 203, Salisbury, NC 28144-2738 | 2018-08-17 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on VALLEY RADIOLOGY AT ANGIER LLC.
| 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.