SENIORWELL POD OF NORTH CAROLINA LLC (NPI# 1992337794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992337794 |
| Entity Type | Organization |
| Organization Name | SENIORWELL POD OF NORTH CAROLINA LLC |
| Practice Address |
8601 Six Forks Rd Ste 400 Raleigh NC 27615-2965 |
| Mailing Address |
2100 E Lake Cook Rd Ste 1000 Buffalo Grove IL 60089-1999 |
| Practice Telephone | 8448823127 |
| Mailing Telephone | 8448823127 |
| Enumeration Date | 2020-02-10 |
| Last Update Date | 2020-02-10 |
| Authorized Official Name | JOHN MORONEY (CEO) |
| Authorized Official Telephone | 8448823127 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers |
| Other Name | Type Code |
|---|---|
| SeniorWell POD of North Carolina LLC | Doing Business As Name - Organization |
| Street Address |
8601 SIX FORKS RD STE 400 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27615-2965 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467634329 | Loretta Brown | Social Worker | 8601 Six Forks Rd Ste 400, Raleigh, NC 27615-2965 | 2007-12-03 |
| 1053939736 | Ronald L Blackwell | Driver | 8601 Six Forks Rd Ste 400, Raleigh, NC 27615-2965 | 2020-07-09 |
| 1710509112 | Innerlogic Home Care Agency | In Home Supportive Care | 8601 Six Forks Rd Ste 400, Raleigh, NC 27615-2965 | 2020-05-08 |
| 1811522188 | Amazing Care Support Services, Inc | In Home Supportive Care | 8601 Six Forks Rd Ste 400, Raleigh, NC 27615-2965 | 2020-03-07 |
| 1770138265 | Key Autism Services Nc, LLC | Community/Behavioral Health | 8601 Six Forks Rd Ste 400, Raleigh, NC 27615-2965 | 2019-08-02 |
| 1235652579 | Infinity Wellness Solutions | Internal Medicine | 8601 Six Forks Rd Ste 400, Raleigh, NC 27615-2965 | 2017-07-19 |
| 1639606601 | Liberty Wellness Services | Internal Medicine | 8601 Six Forks Rd Ste 400, Raleigh, NC 27615-2965 | 2017-05-22 |
| 1073957775 | Eclectic Therapeutic Connections, Pllc | Community/Behavioral Health | 8601 Six Forks Rd Ste 400, Forum I, Raleigh, NC 27615-2965 | 2013-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588278535 | Emily Grace Johnson | Behavior Technician | 119 Wind Chime Court, Suite 4, Raleigh, NC 27615 | 2020-09-06 |
| 1730706110 | Maja V Martin, Dds, Pa1 | Clinic/Center | 7371 Six Forks Road, Raleigh, NC 27615 | 2020-07-01 |
| 1972146967 | Atlantic Avenue Pharmaceutical, Inc | Pharmacy | 5621 Atlantic Ave, Suite 103, Raleigh, NC 27615 | 2019-10-22 |
| 1023503950 | Siyara Shannay Dobbs | Social Worker | 7013 Woodbend Dr Apt H, Raleigh, NC 27615 | 2018-06-23 |
| 1194210153 | Brittanie Ja'nell Harris | Dentist | 1911 Falls Valley Dr Ste 107, Raleigh, NC 27615 | 2018-06-22 |
| 1710489448 | Sherise Swensen | Social Worker | 8368 Six Forks Road, Suite 101, Raleigh, NC 27615 | 2018-03-08 |
| 1881100345 | Casey Paul Baine | Counselor | 6330 Falls of Neuse Rd Ste 104, Raleigh, NC 27615 | 2017-12-20 |
| 1588177885 | Michael Lacidonia | Acupuncturist | 6400 Falls of Neuse Rd Ste 200, Raleigh, NC 27615 | 2017-11-08 |
| 1457877631 | Matt Henderson | Behavioral Analyst | 8374 Six Forks Road, Suite 101, Raleigh, NC 27615 | 2017-08-18 |
| 1760907646 | Shakeda Muldrow | Social Worker | 7323 Brookbank Lane, Raleigh, NC 27615 | 2017-08-11 |
| Find all providers in zip 27615 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982992517 | Jordan David Meyers | Podiatrist | 1418 E. Millbrook Rd, Raleigh, NC 27609-4812 | 2011-07-17 |
| 1598854895 | James Leroy Edwards | Podiatrist | 515 St Marys Street, Raleigh, NC 27605-1774 | 2006-10-12 |
| 1336238336 | Bruce G Fawcett | Podiatrist | 1514 Glenwood Ave, Raleigh, NC 27608-2368 | 2006-10-11 |
| 1487769857 | Family Foot & Ankle Center, P.a. | Podiatrist | 1004 Dresser Ct Ste 102, Raleigh, NC 27609-7325 | 2006-08-19 |
| 1225095318 | Kathleen Fineco | Podiatrist | 5928 N Hills Dr, Raleigh, NC 27609-4236 | 2006-05-01 |
| 1386616415 | Patrick Dougherty | Podiatrist | 1004 Dresser Ct, Raleigh, NC 27609-7325 | 2006-02-02 |
| 1386627479 | James Michael Hopkins | Podiatrist | 8305 Falls of Neuse Rd, Ste 100, Raleigh, NC 27615 | 2005-11-22 |
| 1194708263 | Edgar Xavier Correa | Podiatrist | 11200 Governor Manly Way, Suite 309, Raleigh, NC 27614-8599 | 2005-11-22 |
| 1588667265 | Carroll D Kratzer | Podiatrist | 3001 Edwards Mill Rd Ste 200, Raleigh, NC 27612-5243 | 2005-05-24 |
| 1407363625 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 2605 Blue Ridge Rd Ste 320, Raleigh, NC 27607-6475 | 2018-01-09 |
| Find all providers in RALEIGH | ||||
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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.