Organization Active NPI

Cary THMD, PLLC

  • General Practice Physician
  • Cary, NC
National Provider Identifier
1437550845
Registry record updated Jan 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
9500470 Issued in NC
Legal business name
CARY THMD, PLLC
Practice address
204 Davis Grove Cir
Suite 103
Cary, NC 27519-2581
Phone
(919) 436-3777
NPI assigned
Sep 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2017

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

Authorized official

Name
Dr. Martin Van Cleeff, MD
Title
Sole MBR
Phone
(919) 720-0682

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X 9500470 NC Primary

Addresses

Primary practice location

204 Davis Grove Cir
Suite 103
Cary, NC 27519-2581

Mailing address

204 Davis Grove Cir
Suite 103
Cary, NC 27519-2581
Phone (919) 436-3777

Other identifiers 1

IdentifierTypeStateIssuer
9500470OtherNCLICENSE

National Provider Directory

National Provider Directory

Locations

204 Davis Grove Cir
Ste 103
Cary, NC 27519
Phone (919) 436-3777

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1409875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484870400000",
    "number": "1437550845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 DAVIS GROVE CIR",
            "address_2": "SUITE 103",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275192581",
            "telephone_number": "919-436-3777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 DAVIS GROVE CIR",
            "address_2": "SUITE 103",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275192581",
            "telephone_number": "919-436-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARY THMD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-05",
        "last_updated": "2017-01-20",
        "status": "A",
        "authorized_official_last_name": "VAN CLEEFF",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "919-720-0682",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "NC",
            "license": "9500470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "9500470",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2017; 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.