Novant Health Triangle Medical Group, Llc | |
3700 Nw Cary Pkwy Ste 110 Cary NC 27513-8446 | |
(919) 238-2000 | |
(919) 238-5010 |
Full Name | Novant Health Triangle Medical Group, Llc |
---|---|
Speciality | Family Medicine |
Location | 3700 Nw Cary Pkwy Ste 110, Cary, North Carolina |
Authorized Official Name and Position | Leea Jeannie Walton (RCS MANAGER) |
Authorized Official Contact | 7043166081 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Novant Health Triangle Medical Group, Llc Po Box 604337 Charlotte NC 28260-4337 Ph: (919) 238-2000 | Novant Health Triangle Medical Group, Llc 3700 Nw Cary Pkwy Ste 110 Cary NC 27513-8446 Ph: (919) 238-2000 |
NPI Number | 1760202303 |
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Provider Enumeration Date | 10/16/2024 |
Last Update Date | 01/02/2025 |
Medicare PECOS PAC ID | 3476081985 |
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Medicare Enrollment ID | O20250113000468 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760202303 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QS0010X | Family Medicine - Sports Medicine | (* (Not Available)) | Secondary |
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | O Josh Bloom |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1588618573 PECOS PAC ID: 3971583212 Enrollment ID: I20040726000697 |
Provider Name | Brett H Foreman |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1497700264 PECOS PAC ID: 3476523614 Enrollment ID: I20040727000683 |
Provider Name | James G Blount |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1649224635 PECOS PAC ID: 6103836044 Enrollment ID: I20060421000473 |
Provider Name | Sandeep Sharad Gavankar |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1740234749 PECOS PAC ID: 8325058266 Enrollment ID: I20060421000531 |
Provider Name | Kristen S Clarey |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1194847707 PECOS PAC ID: 5698806529 Enrollment ID: I20100622000052 |
Provider Name | Jennifer D Stromberg |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1164748166 PECOS PAC ID: 0749414241 Enrollment ID: I20141014002088 |
Provider Name | Michael Harris |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1497012751 PECOS PAC ID: 6002128170 Enrollment ID: I20150701002358 |
Provider Name | Piper P Kilpatrick |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1760610547 PECOS PAC ID: 6002057007 Enrollment ID: I20190604001416 |
Provider Name | Stephen P Peterson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1629127915 PECOS PAC ID: 2264485598 Enrollment ID: I20191104001814 |
Provider Name | Duane Richard Hennion |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1417948597 PECOS PAC ID: 6608020359 Enrollment ID: I20191119002223 |
Provider Name | Kathryn L Gloyer |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1033317581 PECOS PAC ID: 8820268584 Enrollment ID: I20200224002321 |
Provider Name | Brian Michael Rue |
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Provider Type | Practitioner - Sports Medicine |
Provider Identifiers | NPI Number: 1831572403 PECOS PAC ID: 5395046445 Enrollment ID: I20220406002278 |
Provider Name | Monica Shah Kulkarni |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1164928859 PECOS PAC ID: 4789931791 Enrollment ID: I20230327000504 |
Provider Name | Adam Cordum |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1053940049 PECOS PAC ID: 8325460058 Enrollment ID: I20250219000930 |
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