Organization Active NPI

Triangle Geriatrics & Palliative Medicine, PLLC

  • Geriatric Medicine (Family Medicine) Physician
  • Durham, NC
National Provider Identifier
1023313855
Registry record updated Jan 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
2009-00470 Issued in NC
Legal business name
TRIANGLE GERIATRICS & PALLIATIVE MEDICINE, PLLC
Practice address
1010 Rosehill Ave
Durham, NC 27705-4019
Phone
(540) 447-6614
NPI assigned
Jan 26, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. William M Plonk, MD
Title
Owner
Phone
(540) 447-6614

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QG0300X 2009-00470 NC Primary

Addresses

Primary practice location

1010 Rosehill Ave
Durham, NC 27705-4019

Mailing address

1010 Rosehill Ave
Durham, NC 27705-4019
Phone (540) 447-6614

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1296000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296000000000",
    "number": "1023313855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 ROSEHILL AVE",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277054019",
            "telephone_number": "540-447-6614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 ROSEHILL AVE",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277054019",
            "telephone_number": "540-447-6614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIANGLE GERIATRICS & PALLIATIVE MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-26",
        "last_updated": "2011-01-26",
        "status": "A",
        "authorized_official_last_name": "PLONK",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-447-6614",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "NC",
            "license": "2009-00470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.