MEDICARE: MICHAEL ROBERT PIKE M.D.

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
1	174400000X	Specialist	23638	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1275622292
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL ROBERT PIKE M.D.

Provider Business Mailing Address
First Line	:	1000 CRESCENT GREEN DR
Second Line	:	SUITE 102
City	:	CARY
State	:	NC
Zip	:	27518
Country	:	US
Telephone Number	:	919-816-4948
Fax Number	:	919-233-7685

Provider Business Practice Location Address
First Line	:	1000 CRESCENT GREEN DR
Second Line	:	SUITE 102
City	:	CARY
State	:	NC
Zip	:	27518
Country	:	US
Telephone Number	:	919-816-4948
Fax Number	:	919-233-7685

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/11/2006
Last Update Date	:	12/07/2011

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