Organization Active NPI

Creedmoor Centre Endocrinology PA

  • Medical Physician Assistant
  • Raleigh, NC
National Provider Identifier
1841627692
Registry record updated Aug 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
2006-01609 Issued in NC
Legal business name
CREEDMOOR CENTRE ENDOCRINOLOGY PA
Practice address
8340 Bandford Way
Suite 001
Raleigh, NC 27615-2755
Phone
(919) 845-3332
Fax
(919) 845-3395
NPI assigned
Oct 10, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2026

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

Authorized official

Name
Barbara Jo Ulanch
Title
Practice Manager
Phone
(919) 845-3332

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AM0700X 2006-01609 NC Primary

Addresses

Primary practice location

8340 Bandford Way
Suite 001
Raleigh, NC 27615-2755

Mailing address

8340 Bandford Way Ste 1
Raleigh, NC 27615-2755
Phone (919) 845-3332

National Provider Directory

National Provider Directory

Locations

8340 Bandford Way
Ste 1
Raleigh, NC 27615
Phone (919) 845-3332

Practitioners & affiliated clinicians

Practitioners 9

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

NPI Registry JSON

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

{
    "created_epoch": "1381363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786060800000",
    "number": "1841627692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8340 BANDFORD WAY STE 1",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276152755",
            "telephone_number": "919-845-3332",
            "fax_number": "888-714-0059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8340 BANDFORD WAY",
            "address_2": "SUITE 001",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276152755",
            "telephone_number": "919-845-3332",
            "fax_number": "919-845-3395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREEDMOOR CENTRE ENDOCRINOLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-10",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A",
        "authorized_official_last_name": "ULANCH",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "919-845-3332"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "2006-01609",
            "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 Aug 7, 2026; 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.