Pediatrician'S Urgent Care

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

PEDIATRICIAN'S URGENT CARE

Practice address

11130 Capital Blvd
Wake Forest, NC 27587-4513

Phone

(919) 488-4094

Fax

(919) 488-4096

NPI assigned

Mar 21, 2006

Organization subpart

No

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

Authorized official

Name

Dr. James M Poole, M.D.

Title

Owner Manager

Phone

(919) 488-4094

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366588800000",
    "number": "1922067594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 HORIZON DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276154922",
            "telephone_number": "919-488-0015",
            "fax_number": "919-277-0066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11130 CAPITAL BLVD",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275874513",
            "telephone_number": "919-488-4094",
            "fax_number": "919-488-4096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRICIAN'S URGENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-21",
        "last_updated": "2013-04-22",
        "status": "A",
        "authorized_official_last_name": "POOLE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER MANAGER",
        "authorized_official_telephone_number": "919-488-4094",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5901013",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leslie Payne, MSW, LCSWA
• PC Consultants
• Megan Evans Pearce
• Tracie Lanae Pearsall
• Janine Pearson, M.S., CCC-SLP
• Matthew Robert Pedone
• Peninsula Biomedical Inc
• Julie Marie Penner, PHARMD
• Madeline Mae Pennington, LCSWA
• Catherine Grant Peoples, LCSW

• Pediatrics Physician in Wake Forest, NC
• Providers in Wake Forest, NC by specialty
• Pediatrics Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2013; 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.