IDLER SPINE, PLLC (NPI# 1740567551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740567551 |
| Entity Type | Organization |
| Organization Name | IDLER SPINE, PLLC |
| 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 | 2011-11-08 |
| Last Update Date | 2011-11-08 |
| Authorized Official Name | CARY S IDLER (OWNER) |
| Authorized Official Telephone | 9198725296 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
2008-00472 | 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 |
| 1629346069 | Michael C Fajgenbaum, Md Pa | Orthopaedic Surgery | 3410 Executive Dr, Suite 103, Raleigh, NC 27609-7450 | 2011-12-13 |
| 1225306327 | Fred Benedict, Md Pllc | Orthopaedic Surgery | 3410 Executive Dr, Suite 103, Raleigh, NC 27609-7450 | 2011-12-05 |
| 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 |
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| 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 |
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| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336647619 | Spine Cin of Raleigh LLC | Orthopaedic Surgery | 555 Fayetteville St Ste 201-277, Raleigh, NC 27601-3030 | 2018-01-31 |
| 1518465897 | Joint Replacement Cin of Raleigh LLC | Orthopaedic Surgery | 555 Fayetteville St Ste 201-278, Raleigh, NC 27601-3030 | 2018-01-31 |
| 1447553870 | Orthopaedic Specialists of North Carolina, P.a. | Orthopaedic Surgery | 2605 Blue Ridge Rd Ste 320, Raleigh, NC 27607-6475 | 2010-12-07 |
| 1386107159 | Snc Care of Nc, LLC | Orthopaedic Surgery | 555 Fayetteville St Ste 201-277, Raleigh, NC 27601-3030 | 2019-04-09 |
| 1033672803 | Snc Care of Nc IIi, LLC | Orthopaedic Surgery | 555 Fayetteville St Ste 201-277, Raleigh, NC 27601-3030 | 2019-04-09 |
| 1922390913 | Orthopaedic Specialists of North Carolina, P.a. | Orthopaedic Surgery | 3320 Executive Dr, Suite 218, Raleigh, NC 27609-7445 | 2011-05-09 |
| 1659695492 | Orthopaedic Specialists of North Carolina, P.a. | Orthopaedic Surgery | 10010 Falls of Neuse Rd, Suite 200, Raleigh, NC 27614-8494 | 2010-03-23 |
| 1265635940 | Conor Regan | Orthopaedic Surgery | 3009 New Bern Ave, Raleigh, NC 27610-1214 | 2007-06-08 |
| 1255549804 | Triangle Spine and Back Care Center, Pllc | Orthopaedic Surgery | 3320 Wake Forest Rd, Suite 430, Raleigh, NC 27609-7300 | 2007-05-18 |
| 1881711158 | William Francis Lestini | Orthopaedic Surgery | 3320 Wake Forest Rd, Suite 430, Raleigh, NC 27609-7300 | 2007-03-23 |
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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.