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RALEIGH DURHAM MEDICAL GROUP PA NPI 1518918259


NPI Information

NPI: 1518918259
Provider Name: RALEIGH DURHAM MEDICAL GROUP, PA

Doing Business As: NORTH RALEIGH PEDIATRIC GROUP

Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 34D0240868

Address:
7205 STONEHENGE DR
RALEIGH, NC
ZIP 27613
Phone: (919) 848-2249
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RALEIGH DURHAM MEDICAL GROUP, PA is a pediatrics in Raleigh, NC. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. RALEIGH DURHAM MEDICAL GROUP, PA NPI is 1518918259. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As North Raleigh Pediatric Group.

The provider's business location address is:

7205 STONEHENGE DR
RALEIGH, NC
ZIP 27613-649
Phone: (919) 848-2249
Fax: (919) 848-8238

The provider's authorized official is David K Moye .
The authorized official title is Executive Director and has the following contact phone number (919) 614-0301.

The CLIA number assigned to this NPI record is 34D0240868 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/15/2006 and was last updated on 7/16/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10237NOTHERNORTH CAROLINABCBS
25900360MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.