SHANAHAN RHEUMATOLOGY AND IMMUNOTHERAPY, PLLC


Address: 10208 Cerny Street, Wake Med Brier Creek Medical Park, Raleigh, NC 27617
Phone: 9199492228

SHANAHAN RHEUMATOLOGY AND IMMUNOTHERAPY, PLLC (NPI# 1912235268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912235268
Entity Type Organization
Organization Name SHANAHAN RHEUMATOLOGY AND IMMUNOTHERAPY, PLLC
Practice Address 10208 Cerny Street
Wake Med Brier Creek Medical Park
Raleigh
NC 27617
Practice Telephone 9199492228
Mailing Telephone 9199492228
Enumeration Date 2009-11-25
Last Update Date 2011-02-01
Authorized Official Name MISS NICOLE COUTURE (BILLING AGENT)
Authorized Official Telephone 4137728500
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RR0500X Internal Medicine
Specialization: Rheumatology
9801767 NC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NC 890138J 05

Office Location

Street Address 10208 CERNY STREET
WAKE MED BRIER CREEK MEDICAL PARK
City RALEIGH
State NC
Zip Code 27617

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Taxonomy Information

Taxonomy Code 207RR0500X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Rheumatology

Taxonomy Definition

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457666026 Orwah Al-khalili Internal Medicine 7850 Brier Creek Pkwy, Raleigh, NC 27617-8900 2010-08-08
1265757157 Surry Parker Roberts Internal Medicine 120 Woodburn Rd, Raleigh, NC 27605-1617 2010-04-02
1053399394 Arthritis Rheumatology & Osteoporosis Center of Nc, Pa Internal Medicine 5711 Six Forks Rd, 207, Raleigh, NC 27609-3888 2006-01-06
1073178398 Wakemed Specialists Group LLC Internal Medicine 10010 Falls of Neuse Rd, Raleigh, NC 27614-8494 2019-05-02
1003337312 Sheila A Munday Internal Medicine 3101 John Humphries Wynd, Raleigh, NC 27612-5302 2017-06-28
1184073280 Wake Specialty Physicians LLC Internal Medicine 10010 Falls of Neuse Rd, Raleigh, NC 27614-8494 2016-06-09
1467737601 Ananta Subedi Internal Medicine 10000 Falls of Neuse Rd, Raleigh, NC 27614-7838 2011-10-19
1851683577 Samya Mohammad Internal Medicine 3100 Duraleigh Rd Ste 100, Raleigh, NC 27612-8105 2011-05-13
1588891022 Kavitta Baman Allem Internal Medicine 10010 Falls of Neuse Rd, Suite 106, Raleigh, NC 27614-8494 2009-06-11
1811012388 Wake Rheumatology & Osteoporosis Internal Medicine 3718 Benson Dr, Raleigh, NC 27609-7321 2007-03-20
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City RALEIGH
Zip Code 27617

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Dataset Information

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.

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