Waverly Hematology Oncology PA

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

39812 Issued in NC

Legal business name

WAVERLY HEMATOLOGY ONCOLOGY PA

Practice address

300 Ashville Ave
Suite 310
Cary, NC 27518-8682

Phone

(919) 233-8585

Fax

(919) 233-8566

NPI assigned

Dec 26, 2006

Organization subpart

No

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

Authorized official

Name

Mark Graham II, MD

Title

Director

Phone

(919) 233-8585

Specialties & licenses 1

Addresses

Other identifiers 3

Practitioners 1

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

• Sheila A. Shine, N.P.

  • Hematology & Oncology Physician
  • Cary, NC
  • NPI 1053542381
  NPD (past)

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222905600000",
    "number": "1871658443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 ASHVILLE AVE",
            "address_2": "SUITE 310",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275188682",
            "telephone_number": "919-233-8585",
            "fax_number": "919-233-8566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 ASHVILLE AVE",
            "address_2": "SUITE 310",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275188682",
            "telephone_number": "919-233-8585",
            "fax_number": "919-233-8566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAVERLY HEMATOLOGY ONCOLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2008-10-02",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "919-233-8585",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NC",
            "license": "39812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "138AH",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89138AH",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "P00403727",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Digby Watt, PT
• Courtney M Watts
• Gary Cortez Watts
• Megan Watts, DPT
• Peter W Watts, LMBT
• Waves of Change
• Tovah M. Wax, PH. D.
• Lawrence Todd Waxman, LPC
• Wayfinding Wellness Therapy, PLLC
• Wayne M. Beavers, D.D.S., P.a.

• Hematology & Oncology Physician in Cary, NC
• Providers in Cary, NC by specialty
• Hematology & Oncology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2008; 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.