DR. GARY A HAAKENSON (NPI# 1821103839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821103839 |
| Entity Type | Individual |
| Full Name | DR. GARY A HAAKENSON |
| Credential | M.D. |
| Practice Address |
2417 Atrium Dr Suite 200 Raleigh NC 27607-6673 |
| Practice Telephone | 9197819555 |
| Practice Fax Number | 9197811070 |
| Mailing Telephone | 9197819555 |
| Mailing Fax Number | 9197811070 |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
22477 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UNITED HEALTHCARE | 07-52517 | 01 | |
| NC | BCBS OF NC | 37989 | 01 |
| NC | MEDCOST | A4032 | 01 |
| NC | AETNA | 4290905 | 01 |
| NC | 8937989 | 05 | |
| NC | FIRST HEALTH | 1622677 | 01 |
| CIGNA | 3149986 | 01 |
| Street Address |
2417 ATRIUM DR SUITE 200 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27607-6673 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073519880 | Ruth Mokeba-ekangaki | Internal Medicine | 2417 Atrium Dr, Suite 150, Raleigh, NC 27607-6673 | 2005-06-27 |
| 1487188850 | Lianne Kennedy | Nurse Practitioner | 2417 Atrium Dr, Suite 150, Raleigh, NC 27607-0161 | 2017-04-12 |
| 1780019661 | Unc Physicians Network Group Practices, LLC | Internal Medicine | 2417 Atrium Dr, Suite 250, Raleigh, NC 27607-6673 | 2013-09-10 |
| 1730457961 | Carolina Sedation Services LLC | Anesthesiology | 2417 Atrium Dr, Ste 101, Raleigh, NC 27607-6673 | 2011-12-02 |
| 1225236094 | Murtaza Parekh | Internal Medicine | 2417 Atrium Dr, Suite 150, Raleigh, NC 27607-6673 | 2007-07-03 |
| 1174630560 | Womens Health Alliance, Pa | Obstetrics & Gynecology | 2417 Atrium Dr, Suite 200, Raleigh, NC 27607-6673 | 2006-08-23 |
| 1437264389 | Zoe A Beatty | Obstetrics & Gynecology | 2417 Atrium Dr, Suite 200, Raleigh, NC 27607-6673 | 2006-08-20 |
| 1467567347 | David Henderson | Obstetrics & Gynecology | 2417 Atrium Dr, Suite 200, Raleigh, NC 27607-6673 | 2006-08-20 |
| 1669587564 | Mark W Zimmerman | Obstetrics & Gynecology | 2417 Atrium Dr, Suite 200, Raleigh, NC 27607-6673 | 2006-08-20 |
| 1013022946 | Matthew F Alvarez | Obstetrics & Gynecology | 2417 Atrium Dr, Suite 200, Raleigh, NC 27607-6673 | 2006-08-20 |
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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 |
| Find all providers in zip 27607 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972142727 | The Whole Woman, Pllc | Obstetrics & Gynecology | 7509 Six Forks Rd Ste 101, Raleigh, NC 27615-5020 | 2019-12-26 |
| 1639696149 | Raleigh Gynecology & Wellness, Pa | Obstetrics & Gynecology | 2304 Wesvill Ct Ste 210, Raleigh, NC 27607-2973 | 2017-08-25 |
| 1477963874 | Kathryn Elizabeth Barletta | Obstetrics & Gynecology | 4325 Lake Boone Trl Ste 315, Raleigh, NC 27607 | 2014-05-07 |
| 1750708848 | Woman To Woman Gynecology Pllc | Obstetrics & Gynecology | 3909 Sunset Ridge Rd Ste 201, Raleigh, NC 27607-6668 | 2014-03-26 |
| 1023220522 | Andrew John Cracker | Obstetrics & Gynecology | 1604 Jones Franklin Road, Raleigh, NC 27606 | 2007-05-04 |
| 1437287075 | Charlotte A Sweeney | Obstetrics & Gynecology | 2825 Exeter Cir, Raleigh, NC 27608-1115 | 2007-03-02 |
| 1497805584 | Jouko K Halme | Obstetrics & Gynecology | 3305 Drake Cir, Raleigh, NC 27607-3332 | 2007-01-11 |
| 1205996998 | Nicole P Kerner | Obstetrics & Gynecology | 9212 Duncanshire Ct, Raleigh, NC 27613-5483 | 2006-12-11 |
| 1396849998 | Bruce Elliott Norman | Obstetrics & Gynecology | 111 N Bloodworth St, Raleigh, NC 27601-1103 | 2006-09-12 |
| 1790898138 | Tracy H Lathrop | Obstetrics & Gynecology | 8300 Health Park Ste 320, Raleigh, NC 27615-4731 | 2006-08-17 |
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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.