DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: OBERLIN ROAD PEDIATRICS, PA

MEDICARE: OBERLIN ROAD PEDIATRICS, PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician

General Provider Information

NPI Number : 1881667251
Entity Type Code : Organization
Provider Name (Legal Business Name) : OBERLIN ROAD PEDIATRICS, PA
Provider Business Mailing Address
First Line : 1321 OBERLIN RD
Second Line : A
City : RALEIGH
State : NC
Zip : 27608-2052
Country : US
Telephone Number : 919-828-4747
Fax Number : 919-828-6765
Provider Business Practice Location Address
First Line : 1321 OBERLIN RD
Second Line : A
City : RALEIGH
State : NC
Zip : 27608-2052
Country : US
Telephone Number : 919-828-4747
Fax Number : 919-828-6765
Authorized Official
Title or Position : PRACTICE MANAGER
Name : MRS. DEBBIE MOORE THOMAS
Credential :
Telephone Number : 919-828-4747
Provider Enumeration Date : 02/08/2006
Last Update Date : 08/22/2020

Similar Medicare Providers

1194798223 — MR. GORDON KENNEDY MIDDLETON JR. M.D.
Practice Location Address:
1321 OBERLIN RD , A
RALEIGH, NC
27608-2052
Practice Phone: 919-828-4747
Practice Fax: 919-828-6765
1073586194 — MRS. ANGELICA LYNN SWIERSZ M.D.
Practice Location Address:
1321 OBERLIN RD , A
RALEIGH, NC
27608-2052
Practice Phone: 919-828-4747
Practice Fax: 919-828-6765
1619940434 — MR. BRADLEY JARED WASSERMAN M.D.
Practice Location Address:
1321 OBERLIN RD , A
RALEIGH, NC
27608-2052
Practice Phone: 919-828-4747
Practice Fax: 919-828-6765
1881667624 — MS. TINA MICHELLE BURLESON M.D.
Practice Location Address:
1321 OBERLIN RD , A
RALEIGH, NC
27608-2052
Practice Phone: 919-828-4747
Practice Fax: 919-828-6765
1659345197 — MR. THOMAS ROBERT BODENSTINE M.D.
Practice Location Address:
1321 OBERLIN RD , A
RALEIGH, NC
27608-2052
Practice Phone: 919-828-4747
Practice Fax: 919-828-6765
1780650077 — DR. KIMBERLY I LEVERSEDGE M.D.
Practice Location Address:
1321 OBERLIN RD STE A
RALEIGH, NC
27608-2052
Practice Phone: 919-828-4747
Practice Fax: 919-828-6765

Directions to “OBERLIN ROAD PEDIATRICS, PA ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.