CORENTHIAN JEROME BOOKER (NPI# 1740402007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740402007 |
| Entity Type | Individual |
| Full Name | CORENTHIAN JEROME BOOKER |
| Credential | M.D. |
| Practice Address |
2406 Blue Ridge Rd Suite 200 Raleigh NC 27607-6678 |
| Mailing Address |
4305 Branchwood Dr Durham NC 27705 |
| Practice Telephone | 9197834299 |
| Mailing Telephone | 9194337313 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2017-08-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | MT186668 | PA | Allopathic & Osteopathic Physicians |
| Y | 207VM0101X |
Obstetrics & Gynecology Specialization: Maternal & Fetal Medicine |
2012-01926 | NC | Allopathic & Osteopathic Physicians |
| N | 207VM0101X |
Obstetrics & Gynecology Specialization: Maternal & Fetal Medicine |
2009-00624 | NC | Allopathic & Osteopathic Physicians |
| Street Address |
2406 BLUE RIDGE RD SUITE 200 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27607-6678 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649260043 | Lori Moore Langdon | Pediatrics | 2406 Blue Ridge Rd, Suite 100, Raleigh, NC 27607-6678 | 2005-10-26 |
| 1386209633 | Wakemed Specialists Group LLC | Clinic/Center | 2406 Blue Ridge Rd, Raleigh, NC 27607-6678 | 2019-05-02 |
| 1730656638 | Kushal Khimji | Pharmacist | 2406 Blue Ridge Rd, Raleigh, NC 27607-6678 | 2018-10-29 |
| 1225446800 | Courtney Yerxa | Genetic Counselor, MS | 2406 Blue Ridge Rd, Suite 200, Raleigh, NC 27607-6678 | 2014-07-28 |
| 1265848154 | Wake Specialty Physicians, LLC | Durable Medical Equipment & Medical Supplies | 2406 Blue Ridge Rd, Suite 190, Raleigh, NC 27607-6678 | 2014-07-11 |
| 1801207543 | Melinda Lee Beavers | Pediatrics | 2406 Blue Ridge Rd, Raleigh, NC 27607-6678 | 2014-05-15 |
| 1942625991 | Jamie Harding | Physician Assistant | 2406 Blue Ridge Rd, Suite 100, Raleigh, NC 27607-6678 | 2014-02-27 |
| 1427493071 | Alison Lee Vurnakes | Pediatrics | 2406 Blue Ridge Rd, Suite 100, Raleigh, NC 27607-6678 | 2013-05-08 |
| 1154663482 | Alyssa Ann Jenkins | Pediatrics | 2406 Blue Ridge Rd, Suite 100, Raleigh, NC 27607-6678 | 2013-03-25 |
| 1225372246 | Duke University Affiliated Physicians, Inc | Obstetrics & Gynecology | 2406 Blue Ridge Rd, Suite 250, Raleigh, NC 27607-6678 | 2012-11-15 |
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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 | 207VM0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Maternal & Fetal Medicine |
| An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720612492 | Rex Hospital Inc | Obstetrics & Gynecology | 4420 Lake Boone Trl, Raleigh, NC 27607-7505 | 2020-03-02 |
| 1518521905 | Wakemed Specialists Group LLC | Obstetrics & Gynecology | 10010 Falls of Neuse Rd, Raleigh, NC 27614-8494 | 2019-05-01 |
| 1336550375 | Wake Specialty Physicians, LLC | Obstetrics & Gynecology | 3024 New Bern Ave, Raleigh, NC 27610-1247 | 2014-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770839458 | Novant Medical Group, Inc | Obstetrics & Gynecology | 19475 Old Jetton Rd, Cornelius, NC 28031-6591 | 2012-07-31 |
| 1437338050 | Caromont Medical Group Inc | Obstetrics & Gynecology | 620 Summit Crossing Pl Ste 108c, Gastonia, NC 28054-2189 | 2007-10-31 |
| 1548478019 | Elizabeth Bates Ausbeck | Obstetrics & Gynecology | 1718 E 4th St Ste 404, Charlotte, NC 28204-3193 | 2007-05-18 |
| 1609926294 | Atlantic Fetal Medicine Pa | Obstetrics & Gynecology | 411 Western Blvd Ste C, Jacksonville, NC 28546-6822 | 2007-01-12 |
| 1124189600 | Jacqueline H Grant | Obstetrics & Gynecology | Unc Hospitals and Clinics 101 Manning Dr, Chapel Hill, NC 27599-0001 | 2006-12-12 |
| 1245314301 | Andra H. James | Obstetrics & Gynecology | 2608 Erwin Rd Ste 200, Durham, NC 27705-4597 | 2006-10-25 |
| 1093802191 | Nancy Chescheir | Obstetrics & Gynecology | Unc School of Medicine Dept of Ob Gyn, Cb 7516 Old Clinic Building 3010, Chapel Hill, NC 27599-0001 | 2006-10-09 |
| 1801904123 | Neeta L Vora | Obstetrics & Gynecology | Unc Department of Ob Gyn Division of Mfm, 3010 Old Clinic Bldg./cb# 7516, Chapel Hill, NC 27599-0001 | 2006-08-27 |
| 1700991296 | William Harold Goodnight IIi IIi | Obstetrics & Gynecology | 3010 Old Clinic Building, Campus Box 7516, Chapel Hill, NC 27599-0001 | 2006-08-21 |
| 1477533115 | Heather Mertz | Obstetrics & Gynecology | 10660 Park Rd, Ste 4300, Charlotte, NC 28210-8413 | 2006-01-19 |
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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.