Essex Pediatrics

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

ESSEX PEDIATRICS

Practice address

4016 Barrett Dr
Suite 101
Raleigh, NC 27609-6623

Phone

(919) 751-9120

Fax

(919) 751-9170

NPI assigned

May 18, 2006

Organization subpart

No

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

Authorized official

Name

Sherine Ibrahim, M.D.NPI 1225003056

Title

Owner

Phone

(919) 751-9120

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• Sherine Ibrahim, M.D.

  • Pediatrics Physician
  • Raleigh, NC
  • NPI 1225003056
  NPD (past) Authorized official

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225238400000",
    "number": "1619920048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4016 BARRETT DR",
            "address_2": "SUITE 101",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276096623",
            "telephone_number": "919-751-9120",
            "fax_number": "919-751-9170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4016 BARRETT DR",
            "address_2": "SUITE 101",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276096623",
            "telephone_number": "919-751-9120",
            "fax_number": "919-751-9170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSEX PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2008-10-29",
        "status": "A",
        "authorized_official_last_name": "IBRAHIM",
        "authorized_official_first_name": "SHERINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-751-9120",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7945199",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "0244E",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Essential Health & Wellness Raleigh
• Essential Living Home Health Care Inc.
• Essential Recovery Group LLC
• Essential Wellness, LLC
• Essentially Coping & Caring LLC
• Bonnie Jo Essig, MS PT
• Lindseykellam Essing, WHNP-BC
• Brittany L Estep, FNP
• Sonja P Estes, RPH
• Jesus Lemuel Estrada, DC

• Medical Specialty Clinic/Center in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Medical Specialty Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2008; 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.