Triangle Family Medicine, PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2006-01349 Issued in NC

Legal business name

TRIANGLE FAMILY MEDICINE, PA

Practice address

5233 Sunset Lake Rd
Holly Springs, NC 27540-3793

Phone

(919) 387-8885

NPI assigned

Nov 29, 2010

Organization subpart

Yes

Parent organization

TRIANGLE FAMILY MEDICINE, PAAs reported in NPPES

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

Authorized official

Name

Dr. Samreen Azeem, M DNPI 1093823874

Title

Incorporator

Phone

(919) 387-8885

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Triangle Family Medicine PA

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Samreen Azeem, M.D.

  • Family Medicine Physician
  • Holly Springs, NC
  • NPI 1093823874
  Medicare reassignment NPD Authorized official
• Kathleen Elizabeth Lukasik, PA-C

  • Physician Assistant
  • Apex, NC
  • NPI 1275684961
  NPD
• Elizabeth Denise Russ, FNP

  • Family Nurse Practitioner
  • Kimberton, PA
  • NPI 1881175677
  NPD (past)

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

{
    "created_epoch": "1290988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294963200000",
    "number": "1184926024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5233 SUNSET LAKE RD",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275403793",
            "telephone_number": "919-387-8885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5233 SUNSET LAKE RD",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275403793",
            "telephone_number": "919-387-8885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIANGLE FAMILY MEDICINE, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRIANGLE FAMILY MEDICINE, PA",
        "enumeration_date": "2010-11-29",
        "last_updated": "2011-01-14",
        "status": "A",
        "authorized_official_last_name": "AZEEM",
        "authorized_official_first_name": "SAMREEN",
        "authorized_official_title_or_position": "INCORPORATOR",
        "authorized_official_telephone_number": "919-387-8885",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M D"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2006-01349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Transforming Through Therapy, PLLC
• Caroline Trezona, PT, DPT, ATC
• Tri-City Family Medicine & Urgent Care Clinic, PLLC
• Tri-City Family Medicine & Urgent Care Clinic, PLLC
• Triangle Cognitive Behavioral Therapy Services
• Triangle Speech and Language Services
• David B. Tsai, M.D.
• Turek & Vasamsetti PLLC
• Bryan Turner, PHARM D
• Emily Maryann Uhlig

• Family Medicine Physician in Holly Springs, NC
• Providers in Holly Springs, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.