SANJAY JAGANNATH (NPI# 1730136870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730136870 |
| Entity Type | Individual |
| Full Name | SANJAY JAGANNATH |
| Credential | M.D. |
| Practice Address |
2601 Lake Dr Raleigh NC 27607-6688 |
| Mailing Address |
Po Box 18563 Raleigh NC 27619-8563 |
| Practice Telephone | 9197834888 |
| Practice Fax Number | 9197834887 |
| Mailing Telephone | 9197834887 |
| Mailing Fax Number | 9197834887 |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2015-11-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
2015-02088 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 983200900 | 05 |
| Street Address |
2601 LAKE DR |
| City | RALEIGH |
| State | NC |
| Zip Code | 27607-6688 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063472686 | Paula Yvonne Jones | Nurse Practitioner | 2601 Lake Dr, Suite 201, Raleigh, NC 27607-6688 | 2006-03-27 |
| 1497084982 | Wake Endoscopy Center, LLC | Clinic/Center | 2601 Lake Dr, Suite 201, Raleigh, NC 27607-6688 | 2009-12-14 |
| 1932376506 | Kerry N. Whitt | Internal Medicine | 2601 Lake Dr, Suite 201, Raleigh, NC 27607-6688 | 2008-05-13 |
| 1003025685 | Betty-shannon Prevatt | Psychologist | 2601 Lake Dr, Suite 103, Raleigh, NC 27607-6688 | 2007-05-21 |
| 1164562005 | Neeraj Kumar Sachdeva | Internal Medicine | 2601 Lake Dr, Ste 201, Raleigh, NC 27607-6688 | 2007-02-08 |
| 1497894927 | Michael P Battaglino | Internal Medicine | 2601 Lake Dr, Suite 201, Raleigh, NC 27607-6688 | 2007-02-05 |
| 1508905043 | Ronald P Schwarz | Internal Medicine | 2601 Lake Dr, Ste 201, Raleigh, NC 27607-6688 | 2007-02-05 |
| 1649319195 | Christopher John Schwarz | Internal Medicine | 2601 Lake Dr, Ste 201, Raleigh, NC 27607-6688 | 2007-02-05 |
| 1760534341 | Kimberly Thaxton Campbell | Physician Assistant | 2601 Lake Dr, Suite 201, Raleigh, NC 27607-6688 | 2007-01-17 |
| 1063578961 | John Kyun Park | Obstetrics & Gynecology | 2601 Lake Dr, Suite 301, Raleigh, NC 27607-6688 | 2006-12-28 |
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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 | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| 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 |
|---|---|---|---|---|
| 1730400268 | Amit Patel | Internal Medicine | 10207 Cerny St Ste 210, Raleigh, NC 27617-4887 | 2010-06-18 |
| 1811049307 | John V Yacono | Internal Medicine | 1011 Dresser Ct, Raleigh, NC 27609-7323 | 2007-01-17 |
| 1780778548 | Anant B Soni Md Pa | Internal Medicine | 3124 Blue Ridge Rd Ste 103, Raleigh, NC 27612-8041 | 2006-10-03 |
| 1750348769 | Sharif Riaz Chowdhury | Internal Medicine | 3024 New Bern Avenue, Suite 301, Raleigh, NC 27610 | 2006-04-26 |
| 1518968775 | Seth A Kaplan | Internal Medicine | 3100 Blue Ridge Rd, Suite 300, Raleigh, NC 27612-8036 | 2005-08-09 |
| 1073519880 | Ruth Mokeba-ekangaki | Internal Medicine | 2417 Atrium Dr, Suite 150, Raleigh, NC 27607-6673 | 2005-06-27 |
| 1356906705 | Wakemed Specialists Group, LLC | Internal Medicine | 3024 New Bern Ave, Raleigh, NC 27610-1247 | 2019-05-01 |
| 1588227839 | Wakemed Specialists Group, LLC | Internal Medicine | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2019-04-22 |
| 1033679774 | Molly Whittaker Mcelroy | Internal Medicine | 3100 Blue Ridge Rd Ste 300, Raleigh, NC 27612-8002 | 2019-03-20 |
| 1487139929 | Raleigh D Eckert | Internal Medicine | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2018-10-01 |
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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.