NICHOLAS J. D'AVANZO M.D. – NPI #1700984812
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

NICHOLAS D'AVANZO is a physician located in RALEIGH, NC. NPPES has assigned the NPI number 1700984812 to NICHOLAS D'AVANZO on September 20, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 5 years ago on Mar 31, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NICHOLAS D'AVANZO below.

NPI Profile for
NICHOLAS J. D'AVANZO

NPI Number
1700984812
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
NICHOLAS J. D'AVANZO
Credentials
M.D.
Primary location
3124 BLUE RIDGE RD
SUITE 102
RALEIGH, NC 27612-8041
Phone: (919) 782-0021 Fax: (919) 571-0825
Mailing address
8512 BELL GROVE WAY
RALEIGH, NC 27615-3183
Phone: (919) 844-3225 Fax:
Sole Proprietor
No
Updated
Certification Date
Mar 31, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for NICHOLAS D'AVANZO

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERAETNANC5204341
OTHERBCBS OF NCNC27876
OTHERCIGNANC6298565
OTHERMEDCOSTNC49871
OTHERUNITED HEALTHCARENC1252687
OTHERWELLPATHNC117079
MEDICAIDNC8927876
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)
NC 39784

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
OTHER
Affiliation
N
Endpoint Location
3124 BLUE RIDGE RD,
RALEIGH, NC 77025-1669