Celso B. Lobao, MD, PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

35411 Issued in NC

Legal business name

CELSO B. LOBAO, MD, PA

Practice address

3020 Falstaff Rd
Suite B
Raleigh, NC 27610

Phone

(919) 250-7346

Fax

(888) 259-7335

NPI assigned

Feb 28, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Celso Benedito Lobao, MDNPI 1447259676

Title

President/Owner

Phone

(919) 250-7246

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 4

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

• Celso Benedito Lobao, MD

  • Psychiatry Physician
  • Raleigh, NC
  • NPI 1447259676
  Medicare reassignment NPD Authorized official
• Tracy White Ethridge, RN-BC, CNS, LPC

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Rocky Mount, NC
  • NPI 1972722668
  NPD (past)
• Edward A Lanear, PA-C

  • Medical Physician Assistant
  • Rocky Mount, NC
  • NPI 1407805609
  NPD (past)
• Kelvin Demont Exum, M.D.

  • Psychiatry Physician
  • Dallas, TX
  • NPI 1659567824
  NPD (past)

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419984000000",
    "number": "1487782835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14067",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27620",
            "telephone_number": "919-250-7246",
            "fax_number": "888-259-7335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 FALSTAFF RD",
            "address_2": "SUITE B",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27610",
            "telephone_number": "919-250-7346",
            "fax_number": "888-259-7335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CELSO B. LOBAO, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2014-12-31",
        "status": "A",
        "authorized_official_last_name": "LOBAO",
        "authorized_official_first_name": "CELSO",
        "authorized_official_middle_name": "BENEDITO",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "919-250-7246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NC",
            "license": "35411",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5901686",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.