| Neighborhood Urgent Care Pllc | |
|
9764 Holly Springs Rd Apex NC 27539 | |
| (919) 557-6667 | |
| (919) 557-0344 |
| Full Name | Neighborhood Urgent Care Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 9764 Holly Springs Rd, Apex, North Carolina |
| Authorized Official Name and Position | Timothy Entry (PRACTICE MANAGER) |
| Authorized Official Contact | 9195576667 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neighborhood Urgent Care Pllc 9764 Holly Springs Rd Apex NC 27539-7620 Ph: (919) 557-6667 | Neighborhood Urgent Care Pllc 9764 Holly Springs Rd Apex NC 27539 Ph: (919) 557-6667 |
| NPI Number | 1003156670 |
|---|---|
| Provider Enumeration Date | 02/19/2013 |
| Last Update Date | 07/23/2018 |
| Medicare PECOS PAC ID | 3173761905 |
|---|---|
| Medicare Enrollment ID | O20130605000797 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003156670 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 9901648 (North Carolina) | Primary |
| Provider Name | Thamotharampillai Sivaraj |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922155357 PECOS PAC ID: 0547165540 Enrollment ID: I20031216000188 |
| Provider Name | Michael Stadiem |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750342168 PECOS PAC ID: 6002886355 Enrollment ID: I20040726001453 |
| Provider Name | Derrick J Hoover |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043444573 PECOS PAC ID: 1355506791 Enrollment ID: I20161103000049 |
| Provider Name | Rodrigo T Samodal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710951249 PECOS PAC ID: 8325014558 Enrollment ID: I20170814001453 |
| Provider Name | Carmelita T Bigelow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477080661 PECOS PAC ID: 3971865874 Enrollment ID: I20180312001954 |
| Provider Name | Michelle Stroup |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174155683 PECOS PAC ID: 2466882451 Enrollment ID: I20200414003846 |
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