Organization Active NPI

James a Wainer MD PA

  • Psychiatry Physician
  • Raleigh, NC
National Provider Identifier
1629223409
Registry record updated Sep 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
31754 Issued in NC
Legal business name
JAMES A WAINER MD PA
Practice address
1004 Dresser CT Ste 103
Raleigh, NC 27609-7325
Phone
(919) 831-5249
Fax
(919) 790-1521
NPI assigned
Nov 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2019

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

Authorized official

Name
Dr. James A Wainer, MD
Title
President
Phone
(919) 831-5249

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 31754 NC Primary

Addresses

Primary practice location

1004 Dresser CT Ste 103
Raleigh, NC 27609-7325

Mailing address

867 Washington St
Raleigh, NC 27605-1255
Phone (919) 833-5869

Other practice location 1

867 Washington St
Raleigh, NC 27605-1255
Phone (919) 833-5869

National Provider Directory

National Provider Directory

Locations

867 Washington St
Raleigh, NC 27605
Phone (919) 833-5867

1004 Dresser Ct
Ste 103
Raleigh, NC 27609
Phone (919) 831-5249

NPI Registry JSON

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

{
    "created_epoch": "1227139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568678400000",
    "number": "1629223409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "867 WASHINGTON ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276051255",
            "telephone_number": "919-833-5869",
            "fax_number": "919-833-5859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 DRESSER CT STE 103",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097325",
            "telephone_number": "919-831-5249",
            "fax_number": "919-790-1521"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "867 Washington St",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276051255",
            "country_code": "US",
            "telephone_number": "919-833-5869",
            "fax_number": "919-833-5859",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JAMES A WAINER MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-20",
        "last_updated": "2019-09-17",
        "status": "A",
        "authorized_official_last_name": "WAINER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-831-5249",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "31754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2019; 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.