Leesville Internal Medicine, PA

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

9701241 Issued in NC

Legal business name

LEESVILLE INTERNAL MEDICINE, PA

Practice address

5816 Creedmoor Rd
Suite 105
Raleigh, NC 27612-2310

Phone

(919) 881-0691

Fax

(919) 881-0692

NPI assigned

Mar 5, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Ahmad B Barakat, MDNPI 1770558553

Title

Owner

Phone

(919) 881-0691

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Ahmad B. Barakat, M.D.

  • Internal Medicine Physician
  • Coral Gables, FL
  • NPI 1770558553
  NPD (past) Authorized official

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314662400000",
    "number": "1205965217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5816 CREEDMOOR RD",
            "address_2": "SUITE 105",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276122310",
            "telephone_number": "919-881-0691",
            "fax_number": "919-881-0692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5816 CREEDMOOR RD",
            "address_2": "SUITE 105",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276122310",
            "telephone_number": "919-881-0691",
            "fax_number": "919-881-0692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEESVILLE INTERNAL MEDICINE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2011-08-30",
        "status": "A",
        "authorized_official_last_name": "BARAKAT",
        "authorized_official_first_name": "AHMAD",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-881-0691",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NC",
            "license": "9701241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5900610",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taisha Lee
• William David Lee, MD
• Debra K Leeds, LCSW
• Lees Long Term Care Facility Inc.
• Leesville Dental Care
• Kathryn Leet, PA-C
• Careena Alice Lefebvre, PHARM D
• Chelsea Lefebvre, MD
• Jennifer Susan Lefebvre, OTR/L
• Mark F Lefebvre, PH.D.

• Primary Care Clinic/Center in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Primary Care Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.