Active NPI
Triangle Medical Associates, PC
Doing business as InnovaMed
- Physical Medicine & Rehabilitation Physician
- Durham, NC
National Provider Identifier
1164907523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- TRIANGLE MEDICAL ASSOCIATES, PC
- Doing business as
- InnovaMed
- Practice address
- 14 Consultant PL Ste 250
Durham, NC 27707-6320 - Phone
- (919) 797-5114
- Fax
- (919) 403-2917
- NPI assigned
- Oct 1, 2018
- Last updated
- Mar 31, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Lettie Ann Leidich
- Title
- Manager
- Phone
- (919) 797-5114
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | Primary |
Addresses
Primary practice location
14 Consultant PL Ste 250
Durham, NC 27707-6320
Mailing address
PO Box 52720
Durham, NC 27717-2720
Phone (919) 797-5114
Other names 1
- InnovaMed
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Raleigh, NC
- NPI 1952338782
-
- Chiropractor
- Durham, NC
- NPI 1891806766
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538352000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1648684800000",
"number": "1164907523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 52720",
"city": "DURHAM",
"state": "NC",
"postal_code": "277172720",
"telephone_number": "919-797-5114",
"fax_number": "919-403-2917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 CONSULTANT PL STE 250",
"city": "DURHAM",
"state": "NC",
"postal_code": "277076320",
"telephone_number": "919-797-5114",
"fax_number": "919-403-2917"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRIANGLE MEDICAL ASSOCIATES, PC",
"organizational_subpart": "NO",
"enumeration_date": "2018-10-01",
"last_updated": "2022-03-31",
"certification_date": "2022-03-31",
"status": "A",
"authorized_official_last_name": "LEIDICH",
"authorized_official_first_name": "LETTIE",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "919-797-5114",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "InnovaMed",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "InnovaMed",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Durham, NC
- Triangle Homehealth Inc
- Triangle Integrative Physicians PLLC
- Triangle J Council of Governments
- Triangle Lifeline
- Triangle Lifeline, LLC
- Triangle Medical Transportation
- Triangle Mental Health, PLLC
- Triangle Mindful Birthing (Lorraine Rocco Lactation)
- Triangle Molecular Toxicology LLC
- Triangle Neuropsychiatry, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.