Park Urgent Care PLLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

PARK URGENT CARE PLLC

Practice address

7560 Carpenter Fire Station Rd
Cary, NC 27519-8616

Phone

(919) 261-6677

Fax

(919) 261-6860

NPI assigned

Dec 16, 2018

Last updated

Dec 17, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Vijaya N Polavaram, MDNPI 1669513776

Title

President

Phone

(919) 261-6677

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Vijaya N Polavaram, MD

  • Internal Medicine Physician
  • Raleigh, NC
  • NPI 1669513776
  Medicare reassignment Care Compare group NPD Authorized official
• Raj Polavaram, MD

  • Internal Medicine Physician
  • Cary, NC
  • NPI 1336289065
  Medicare reassignment Care Compare group NPD
• Ramesh Babu Konduru

  • Internal Medicine Physician
  • Raleigh, NC
  • NPI 1477717445
  Medicare reassignment NPD
• Farhath Abdul Kareem, MD

  • Internal Medicine Physician
  • Cary, NC
  • NPI 1679687347
  NPD (past)
• Sarah Adrienne Assante, PA-C

  • Physician Assistant
  • Cary, NC
  • NPI 1003188830
  NPD (past)
• Jacquelyn Nicole Barish, FNP-C

  • Family Nurse Practitioner
  • Cary, NC
  • NPI 1134687718
  NPD (past)
• Nilima Ravindranath Bhirud, M. D.

  • Internal Medicine Physician
  • Cary, NC
  • NPI 1801955232
  NPD (past)
• Brenda W. Thomas, P.A.

  • Physician Assistant
  • Wake Forest, NC
  • NPI 1184748816
  NPD (past)

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545004800000",
    "number": "1871064949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 GIOVANNI CT",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275187106",
            "telephone_number": "919-261-6677",
            "fax_number": "919-261-6860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7560 CARPENTER FIRE STATION RD",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275198616",
            "telephone_number": "919-261-6677",
            "fax_number": "919-261-6860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK URGENT CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-16",
        "last_updated": "2018-12-17",
        "status": "A",
        "authorized_official_last_name": "POLAVARAM",
        "authorized_official_first_name": "VIJAYA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-261-6677",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roopal Parikh, PHARM D
• Valentino Parini, DC
• Meghan Belanger Paris, DPT
• Park Gastroenterology, PLLC
• Park Psychiatry, PLLC
• Eliza Myung Park, M.D.
• Eunjin Lynn Park, CRNA
• Hanna Park, PHARMD
• Junhie Youngkyung Park, D.D.S.
• Hazel Parker

• Urgent Care Clinic/Center in Cary, NC
• Providers in Cary, NC by specialty
• Urgent Care Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.