Michael J Modrow (NPI# 1740448182, PAC ID# 5294970596) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
Nation Provider ID (NPI) | 1740448182 |
PAC ID by PECOS | 5294970596 |
Professional Enrollment ID | I20130314000065 |
Full Name | Michael J Modrow |
Organization Legal Name | WAKE SPECIALTY PHYSICIANS LLC |
Address |
3009 New Bern Ave Raleigh NC 27610-1214 |
Phone Number | 9192325020 |
Gender | M |
Graduation Year | 2005 |
Primary Specialty | PHYSICIAN ASSISTANT |
Group Practice PAC ID | 7416006085 |
Number of Group Practice Members | 511 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
10000 Falls of Neuse Rd, Raleigh, NC 27614-7838 | 9193501300 | WAKE SPECIALTY PHYSICIANS LLC |
3009 New Bern Ave, Raleigh, NC 27610-1214 | 9192325020 | WAKE SPECIALTY PHYSICIANS LLC |
Organization Legal Name | WAKE SPECIALTY PHYSICIANS LLC |
Physicians | 129 |
Name | Specialty | Organization | Address |
---|---|---|---|
Stephen Randolph Tibbels | Family Medicine | Wake Specialty Physicians LLC | 2930 Forestville Rd, Raleigh, NC 27616-8774 |
Sheree D. Givre | Internal Medicine | Wake Specialty Physicians LLC | 2406 Blue Ridge Rd, Raleigh, NC 27607-6678 |
Kelechi C Uwakwe | Nurse Practitioner | Wake Specialty Physicians LLC | 150 E Davie St, Raleigh, NC 27601-1806 |
Jewell Elizabeth Whitmer | Certified Nurse Midwife (cnm) | Wake Specialty Physicians LLC | 204 Ashville Ave, Cary, NC 27518-6670 |
Shahla Naz | Family Medicine | Wake Specialty Physicians LLC | 101 Cotten Ln, Holly Springs, NC 27540-8415 |
Pamela L Borden | Certified Nurse Midwife | Wake Specialty Physicians LLC | 208 Ashville Ave, Cary, NC 27518-6678 |
Swapna V Chenna | Family Medicine | Wake Specialty Physicians LLC | 231 N Judd Pkwy Ne, Fuquay Varina, NC 27526-2694 |
Dustin Pierson | Family Medicine | Wake Specialty Physicians LLC | 7124 Knightdale Blvd, Knightdale, NC 27545-9265 |
Adija D Bailey | Physician Assistant | Wake Specialty Physicians LLC | 901 Old Knight Rd, Knightdale, NC 27545-9065 |
Michael F Soboeiro | Internal Medicine | Wake Specialty Physicians LLC | 400 Us Hwy 70 E, Garner, NC 27529 |
Street Address |
3009 NEW BERN AVE |
City | RALEIGH |
State | NC |
Zip | 27610-1214 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kurt J Ehlert | Orthopedic Surgery | Wakemed Specialists Group, LLC | 3009 New Bern Ave, Raleigh, NC 27610-1214 |
Jennifer Clavier Desilver | Physical Therapy | Wakemed Specialists Group, LLC | 3009 New Bern Ave, Raleigh, NC 27610-1214 |
Michelle Stiles Deans | Physician Assistant | Wake Specialty Physicians LLC | 3009 New Bern Ave, Raleigh, NC 27610-1214 |
Sharyn R Marcisak | Occupational Therapy | Wakemed Specialists Group, LLC | 3009 New Bern Ave, Raleigh, NC 27610-1214 |
Jonathan D Chappell | Orthopedic Surgery | Wakemed Specialists Group, LLC | 3009 New Bern Ave, Raleigh, NC 27610-1214 |
Luke William Hudson | Physical Therapy | Wakemed Specialists Group, LLC | 3009 New Bern Ave, Raleigh, NC 27610-1214 |
Megan Elizabeth Miller | Nurse Practitioner | Wakemed Specialists Group, LLC | 3009 New Bern Ave, Raleigh, NC 27610-1214 |
William Giles | Physical Therapy | Wakemed Specialists Group, LLC | 3009 New Bern Ave, Raleigh, NC 27610-1214 |
Michael Robert Ruffolo | Orthopedic Surgery | Wakemed Specialists Group, LLC | 3009 New Bern Ave, Raleigh, NC 27610-1214 |
Jeffrey Herbst | Physical Therapy | Wakemed Specialists Group, LLC | 3009 New Bern Ave, Raleigh, NC 27610-1214 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Michael C Watson Jr. | Family Medicine | Wakemed Specialists Group, LLC | 2101 Garner Rd, Raleigh, NC 27610-0114 |
Shelby M Shirley | Nurse Practitioner | Wakemed Specialists Group, LLC | 2101 Garner Rd, Raleigh, NC 27610-0114 |
Jennifer A Pennington | Occupational Therapy | Wakemed Specialists Group, LLC | 3009 New Bern Ave, Raleigh, NC 27610-1214 |
Sami William Mardam-bey | Orthopedic Surgery | Wakemed Specialists Group, LLC | 3009 New Bern Ave, Raleigh, NC 27610-1214 |
Gurvinder S Deol | Orthopedic Surgery | Wakemed Specialists Group, LLC | 3009 New Bern Ave, Raleigh, NC 27610-1214 |
Daniel Scott Menday | Physical Therapy | Wakemed Specialists Group, LLC | 3009 New Bern Ave, Raleigh, NC 27610-1214 |
Kimberly Webster Potter | Physical Therapy | Wakemed Specialists Group, LLC | 3009 New Bern Ave, Raleigh, NC 27610-1214 |
Janis Dee Lewis | Occupational Therapy | Wakemed Specialists Group, LLC | 3009 New Bern Ave, Raleigh, NC 27610-1214 |
Ronald A Summers | Orthopedic Surgery | Wakemed Specialists Group, LLC | 3009 New Bern Ave, Raleigh, NC 27610-1214 |
Gaurav Luther | Orthopedic Surgery | Wakemed Specialists Group, LLC | 3009 New Bern Ave, Raleigh, NC 27610-1214 |
Find all physicians in zip 27610 |
City | RALEIGH |
Zip Code | 27610 |
Specialty | PHYSICIAN ASSISTANT |
City + Specialty | RALEIGH + PHYSICIAN ASSISTANT |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.