Triangle Skin Center of Carolina PA

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

9800932 Issued in NC

Legal business name

TRIANGLE SKIN CENTER OF CAROLINA PA

Practice address

8311 Bandford Way Ste 103
Raleigh, NC 27615-2763

Phone

(919) 845-0333

NPI assigned

Jun 7, 2011

Organization subpart

No

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

Authorized official

Name

Debra F Kessler-Hudak, MD

Title

Owner

Phone

(919) 845-0333

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1307404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307404800000",
    "number": "1225322274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8311 BANDFORD WAY STE 103",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276152763",
            "telephone_number": "919-845-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8311 BANDFORD WAY STE 103",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276152763",
            "telephone_number": "919-845-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIANGLE SKIN CENTER OF CAROLINA PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-07",
        "last_updated": "2011-06-07",
        "status": "A",
        "authorized_official_last_name": "KESSLER-HUDAK",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-845-0333",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": "NC",
            "license": "9800932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Triangle Plastic Surgery Center, PLLC
• Triangle Psychiatric Services, PA
• Triangle Psychoeducational Consultants
• Triangle Radiation Oncology Services, Inc.
• Triangle Sinus Center PLLC
• Triangle Speechworks
• Triangle Spine and Back Care Center, PLLC
• Triangle Springs Physician Group, LLC
• Triangle Springs Physician Group, LLC
• Triangle Springs, LLC

• Community Health Worker in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Community Health Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.