DURHAM PHYSICIANS, PA (NPI# 1710158159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710158159 |
| Entity Type | Organization |
| Organization Name | DURHAM PHYSICIANS, PA |
| Practice Address |
305 Brook Chase Ln Durham NC 27705-2482 |
| Practice Telephone | 9193833388 |
| Practice Fax Number | 9193839140 |
| Mailing Telephone | 9193833388 |
| Mailing Fax Number | 9193839140 |
| Enumeration Date | 2008-03-13 |
| Last Update Date | 2008-03-13 |
| Authorized Official Name | ROBERT DOUGLA STEWART (OWNER) |
| Authorized Official Telephone | 9193833388 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
21234 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BC/BS | 01439 | 01 |
| NC | 7901439 | 05 |
| Street Address |
305 BROOK CHASE LN |
| City | DURHAM |
| State | NC |
| Zip Code | 27705-2482 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609860204 | Robert Douglas Stewart | Internal Medicine | 305 Brook Chase Ln, Durham, NC 27705-2482 | 2005-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371755 | Tyler Beach, Lcsw, Pllc | Social Worker | 2740 Spencer Street, Durham, NC 27705 | 2019-11-20 |
| 1720635477 | Brittany W Fry | Registered Nurse | 2301 Erwin Road, Hafs Building, Room 6670, Durham, NC 27705 | 2019-08-19 |
| 1760968044 | Nicole D Moore | Social Worker | 1921 N. Pointe Dr, Suite 280, Durham, NC 27705 | 2018-07-19 |
| 1144757097 | Emileigh S Dowling | Physical Therapist | 3475 Erwin Rd Bldg 2, Durham, NC 27705 | 2017-05-22 |
| 1487195350 | Daniel Lynch | Physical Therapist | 3475 Erwin Road, Pepsico Building, Durham, NC 27705 | 2017-03-13 |
| 1780131839 | Michael A Fitzpatrick Iv | Physical Therapist | 3475 Erwin Rd Bldg 2nd, Durham, NC 27705 | 2016-09-07 |
| 1609241736 | Julia Power Constant | Physician Assistant | Dumc Box 3913, Durham, NC 27705 | 2015-12-01 |
| 1518344159 | Amanda Clark Coniglio | Internal Medicine | 2301 Erwin Rd # 3845, Durham, NC 27705 | 2015-05-04 |
| 1720486988 | Jennifer Dawn Pace | Physician Assistant | 1821 Hillandale Road Suite 24a, Duke Urgent Care, Durham, NC 27705 | 2014-12-19 |
| 1942612106 | Rachel Hibberd | Psychologist | 508 Fulton Avenue, Durham Va Medical Center, Durham, NC 27705 | 2014-05-22 |
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| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| 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 |
|---|---|---|---|---|
| 1710306204 | Serena Wong | Internal Medicine | 40 Duke Medicine Cir Rm 2512, Durham, NC 27710-2527 | 2014-04-10 |
| 1740409754 | Milta Oyola Little | Internal Medicine | 3003 Dumc, Durham, NC 27710-1811 | 2007-04-25 |
| 1609860204 | Robert Douglas Stewart | Internal Medicine | 305 Brook Chase Ln, Durham, NC 27705-2482 | 2005-09-09 |
| 1710349600 | Kristin Kuhn Hlebowitsh | Internal Medicine | 508 Fulton St, Durham, NC 27705 | 2016-03-22 |
| 1982916383 | Shiv Simrun Khosla | Internal Medicine | 508 Fulton St, Durham Va Medical Center, Box 182, Durham, NC 27705-3875 | 2010-07-14 |
| 1811152804 | Rayomand R Bengali | Internal Medicine | 2511 Old Cornwallis Rd, Suite 200, Durham, NC 27713-1869 | 2008-07-19 |
| 1912190281 | Essential Geriatric Care, Pa | Internal Medicine | 6000 Fayetteville Rd, Durham, NC 27713-9754 | 2007-08-21 |
| 1467674465 | Hong Yu | Internal Medicine | 6000 Fayetteville Rd, Durham, NC 27713-9754 | 2007-05-02 |
| 1972687036 | Kimberly Johnson | Internal Medicine | 2100 Erwin Rd, Durham, NC 27710-0001 | 2006-10-25 |
| 1558445619 | Mitchell Heflin | Internal Medicine | 2100 Erwin Rd, Durham, NC 27710-0001 | 2006-10-25 |
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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.