| Capital Family Medicine, P.a. | |
|
3320 Executive Dr Suite 214 Raleigh NC 27609-7445 | |
| (919) 878-8596 | |
| (919) 878-0744 |
| Full Name | Capital Family Medicine, P.a. |
|---|---|
| Speciality | Clinic/Center |
| Location | 3320 Executive Dr, Raleigh, North Carolina |
| Authorized Official Name and Position | Richard J Forsyth (PRESIDENT) |
| Authorized Official Contact | 9198788596 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Capital Family Medicine, P.a. 3320 Executive Dr Suite 214 Raleigh NC 27609-7445 Ph: (919) 878-8596 | Capital Family Medicine, P.a. 3320 Executive Dr Suite 214 Raleigh NC 27609-7445 Ph: (919) 878-8596 |
| NPI Number | 1124007620 |
|---|---|
| Provider Enumeration Date | 01/12/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 8628027166 |
|---|---|
| Medicare Enrollment ID | O20050121000477 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124007620 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 40821 (North Carolina) | Primary |
| Provider Name | Richard J Forsyth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114968401 PECOS PAC ID: 2163471608 Enrollment ID: I20050126000254 |
| Provider Name | Paul Henderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225079254 PECOS PAC ID: 5395754220 Enrollment ID: I20060420000328 |
| Provider Name | Bhakti B Paul |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255545190 PECOS PAC ID: 7113097809 Enrollment ID: I20080606000637 |
| Provider Name | Scott D Wagner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083655179 PECOS PAC ID: 8729136759 Enrollment ID: I20090501000211 |
| Provider Name | Tracy W Kendrick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073723227 PECOS PAC ID: 3274682968 Enrollment ID: I20090529000314 |
| Provider Name | Adam Nicholas Drechsler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952748550 PECOS PAC ID: 1254655012 Enrollment ID: I20160901001652 |
| Provider Name | David J Mcmullen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265963938 PECOS PAC ID: 6608296678 Enrollment ID: I20201013000339 |
| Provider Name | Jake Michael Karels |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548686447 PECOS PAC ID: 1456661750 Enrollment ID: I20220207001765 |
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