Organization Active NPI

Triangle Medical Associates, PC

Doing business as InnovaMed

  • Physical Medicine & Rehabilitation Physician
  • Durham, NC
National Provider Identifier
1164907523
Registry record updated Mar 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2022

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Practitioners & 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.

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

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.

Verify at the official NPI Registry.