Crabtree Urgent Care PA

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

158845 Issued in NC

Legal business name

CRABTREE URGENT CARE PA

Practice address

3126 Blue Ridge Rd
Suite B
Raleigh, NC 27612-8006

Phone

(919) 787-0486

Fax

(919) 787-9931

NPI assigned

Jun 24, 2009

Organization subpart

No

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

Authorized official

Name

Mohammad H Baloch, MD

Title

Owner

Phone

(919) 787-0486

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1245801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245801600000",
    "number": "1629206008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3126 BLUE RIDGE RD",
            "address_2": "SUITE B",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276128006",
            "telephone_number": "919-787-0486",
            "fax_number": "919-787-9931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3126 BLUE RIDGE RD",
            "address_2": "SUITE B",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276128006",
            "telephone_number": "919-787-0486",
            "fax_number": "919-787-9931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRABTREE URGENT CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-24",
        "last_updated": "2009-06-24",
        "status": "A",
        "authorized_official_last_name": "BALOCH",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-787-0486",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "158845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Emergency Medicine Physician in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Emergency Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2009; 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.