RALEIGH DURHAM MEDICAL GROUP PA (NPI# 1912243189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912243189 |
| Entity Type | Organization |
| Organization Name | RALEIGH DURHAM MEDICAL GROUP PA |
| Other Organization Name | ROXBORO FAMILY MEDICINE |
| Practice Address |
107 Weeks Dr Roxboro NC 27573-3933 |
| Mailing Address |
5626 Oberlin Dr 110 San Diego CA 92121-1705 |
| Practice Telephone | 3365985480 |
| Enumeration Date | 2012-12-17 |
| Last Update Date | 2012-12-17 |
| Authorized Official Name | KENNY HEINE (VP OPS) |
| Authorized Official Telephone | 8589641506 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEDVANTX, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | 104138 | NC | Suppliers |
| Other Name | Type Code |
|---|---|
| ROXBORO FAMILY MEDICINE | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891704789 | Raleigh Durham Medical Group Pa | Family Medicine | 101 East Corbin St, Hillsborough, NC 27278 | 2006-08-07 |
| 1356387245 | Raleigh Durham Medical Group Pa | Obstetrics & Gynecology | 7019 Harps Mill Rd, Raleigh, NC 27615-3248 | 2006-06-21 |
| 1306899125 | Raleigh Durham Medical Group Pa | Family Medicine | 7124 Knightdale Blvd, Knightdale, NC 27545-9265 | 2006-05-19 |
| 1801848049 | Raleigh Durham Medical Group Pa | Family Medicine | 4905 Green Rd, Ste 100, Raleigh, NC 27616-2805 | 2006-05-16 |
| 1003868258 | Raleigh Durham Medical Group Pa | Family Medicine | 600 New Waverly Place, Ste 203, Cary, NC 27518 | 2006-05-16 |
| 1659322436 | Raleigh Durham Medical Group Pa | Family Medicine | 2076 Highway 42 W, Suite 230, Clayton, NC 27520-5303 | 2006-05-15 |
| 1649221342 | Raleigh Durham Medical Group Pa | Internal Medicine | 4003 N Roxboro St, Durham, NC 27704-2119 | 2006-05-15 |
| 1295784874 | Raleigh Durham Medical Group Pa | Obstetrics & Gynecology | 5420 Wade Park Blvd, Suite 106, Raleigh, NC 27607-4189 | 2006-05-09 |
| 1710331640 | Raleigh Durham Medical Group Pa | Non-Pharmacy Dispensing Site | 8020 Creedmoor Rd, Raleigh, NC 27613-4363 | 2016-04-18 |
| 1164865416 | Raleigh Durham Medical Group Pa | Non-Pharmacy Dispensing Site | 2076 Highway 42 West, Suite 230, Clayton, NC 27520 | 2013-04-16 |
| Street Address |
107 WEEKS DR |
| City | ROXBORO |
| State | NC |
| Zip Code | 27573-3933 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124094487 | Ronald Eugene Granger | Obstetrics & Gynecology | 107 Weeks Dr, Roxboro, NC 27573-3929 | 2006-02-27 |
| 1699372466 | Anna Frances Stephenson | Physician Assistant | 107 Weeks Dr, Roxboro, NC 27573-3929 | 2020-10-05 |
| 1306397807 | Rdmg Associates Pa | Obstetrics & Gynecology | 107 Weeks Dr, Roxboro, NC 27573-3929 | 2016-10-19 |
| 1184059214 | Benjamin Dent Pierce | Physician Assistant | 107 Weeks Dr, Roxboro, NC 27573-3929 | 2013-09-09 |
| 1194096289 | Raleigh Durham Medical Group, Pa | Obstetrics & Gynecology | 107 Weeks Dr, Roxboro, NC 27573-3933 | 2012-01-20 |
| 1700074366 | Rachel Nicole Miller | Physician Assistant | 107 Weeks Dr, Roxboro, NC 27573-3929 | 2007-10-09 |
| 1972538734 | Elizabeth R Buno | Physician Assistant | 107 Weeks Dr, Roxboro, NC 27573-3933 | 2006-07-11 |
| 1447213814 | Molly M Evans | Physician Assistant | 107 Weeks Dr, Roxboro, NC 27573-3929 | 2006-04-07 |
| 1982665808 | Tami Atkins Lee | Physician Assistant | 107 Weeks Dr, Roxboro, NC 27573-3933 | 2006-03-30 |
| 1629037858 | Noah J Wichman | Physician Assistant | 107 Weeks Dr, Roxboro, NC 27573-3933 | 2006-03-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043786783 | Caitlin Elissa Seidler | Physician Assistant | 910 N Madison Blvd Ste B, Roxboro, NC 27573 | 2018-10-21 |
| 1467821801 | Iris W Jackola | Nurse Practitioner | 796 Doctor's Court, Roxboro, NC 27573 | 2015-09-16 |
| 1568897213 | Person County Group Homes, Inc. | Community/Behavioral Health | 607 Henry Street, Roxboro, NC 27573 | 2013-09-12 |
| 1760820336 | J-1 Consultants LLC | Psychologist | 315 Old Allensville Road, Roxboro, NC 27573 | 2013-06-05 |
| 1932445749 | Ronnie Lee Chandler | Pharmacist | 109 North Main St., Roxboro, NC 27573 | 2012-12-26 |
| 1154559581 | Roxboro Medaccess Primary Care | Clinic/Center | 3762 Durham Road, Roxboro, NC 27573 | 2009-06-24 |
| 1699922302 | Bruce Wayne Walsh | Counselor | 355 C1 S. Madison Blvd, Roxboro, NC 27573 | 2008-08-25 |
| 1033232020 | Person County Department of Social Services | Durable Medical Equipment & Medical Supplies | 355-b South Madison Blvd, Roxboro, NC 27573 | 2007-04-06 |
| 1417095886 | Thomas Jones Day Jr. | Dentist | 407 North Main St, Roxboro, NC 27573 | 2007-02-01 |
| 1578622288 | Corey Wayne Wilson | Dentist | 112 West Barden Street, Roxboro, NC 27573 | 2006-12-08 |
| Find all providers in zip 27573 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922478205 | Urgent Cares of America North Carolina Inc | Non-Pharmacy Dispensing Site | 910 N Madison Blvd, Suite B, Roxboro, NC 27573-4573 | 2015-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952775108 | Urgent Cares of America North Carolina Inc | Non-Pharmacy Dispensing Site | 907 Us 401 Bypass, Laurinburg Commons, Laurinburg, NC 28352 | 2015-11-25 |
| 1417321381 | Urgent Cares of America Nc Inc | Non-Pharmacy Dispensing Site | 5214 Market St, Wilmington, NC 28405-4067 | 2015-11-16 |
| 1003280033 | Urgent Cares of America North Carolina Inc | Non-Pharmacy Dispensing Site | 825 Blowing Rock Blvd, Lenoir, NC 28645-3709 | 2015-11-13 |
| 1659741361 | Urgent Cares of America North Carolina Inc | Non-Pharmacy Dispensing Site | 1262 East Broad Avenue, Rockingham, NC 28379 | 2015-10-07 |
| 1740650456 | Urgent Cares of America North Carolina Inc | Non-Pharmacy Dispensing Site | 220 Us Highway 70 West, Garner, NC 27529 | 2015-10-07 |
| 1033589072 | Urgent Cares of America North Carolina Inc | Non-Pharmacy Dispensing Site | 6010 Glenwood Ave, Raleigh, NC 27612-2602 | 2015-10-02 |
| 1942679519 | Urgent Cares of America North Carolina Inc | Non-Pharmacy Dispensing Site | 511 Smoky Park Hwy, Candler, NC 28715-8613 | 2015-09-24 |
| 1164891016 | Urgent Cares of America North Carolina Inc | Non-Pharmacy Dispensing Site | 212 N Spence Ave, Goldsboro, NC 27534-4318 | 2015-09-22 |
| 1811363674 | Unc Physicians Network, LLC | Non-Pharmacy Dispensing Site | 7100-9 Kit Creek Road, Research Triangle Park, NC 27709 | 2015-08-17 |
| 1376947754 | Urgent Cares of America Nc Inc | Non-Pharmacy Dispensing Site | 2280 Hwy 70 Se, Hickory, NC 28602 | 2014-10-14 |
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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.