Peter W. Majka Jr., PAC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

0010-04163 Issued in NC

Practice address

3762 Durham Rd # a
Roxboro, NC 27573-2741

Phone

(336) 330-0400

NPI assigned

Jul 7, 2006

Last updated

Nov 17, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Raleigh Durham Medical Group PA

  • Family Medicine Physician
  • Cary, NC
  • NPI 1295784874
  NPD (past)
• Aria Health Physician Services

  dba Geoffrey W. Temple Family Medical Associates

  • Family Medicine Physician
  • Philadelphia, PA
  • NPI 1053181297
  NPD (past)

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416182400000",
    "number": "1821020223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3762 DURHAM RD # A",
            "city": "ROXBORO",
            "state": "NC",
            "postal_code": "275732741",
            "telephone_number": "336-330-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3762 DURHAM RD # A",
            "city": "ROXBORO",
            "state": "NC",
            "postal_code": "275732741",
            "telephone_number": "336-330-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAJKA",
        "first_name": "PETER",
        "middle_name": "W.",
        "name_suffix": "Jr.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2014-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "0010-04163",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "020052403",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen N Long, MD
• Thomas D Long Jr., MD
• Erica Eileen Luna, OTR
• Maureen Frances Lynch, AGNP-C
• Kaitlyn Kirby Lytle, PA-C
• Dedric Marvin Mangum
• Shenita Paulette Mangum, LCSWA, LCASA
• Mankind LLC (Maple height assisted living)
• Marlab,Inc
• Crystal Lynn Martin, AGNP-BC

• Medical Physician Assistant in Roxboro, NC
• Providers in Roxboro, NC by specialty
• Medical Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2014; 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.