Dr. Jacob A Panici
Foot Surgery Foot & Ankle Surgery Primary Podiatric Medicine
103 Parkway Office Ct Ste 100
Cary
, North Carolina 27518-7429
Dr. Jacob A Panici
Foot Surgery Foot & Ankle Surgery Primary Podiatric Medicine
103 Parkway Office Ct Ste 100
Cary
, North Carolina 27518-7429
(919) 836-9094
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About
Features
Specialties
- Primary Podiatric Medicine
- Foot & Ankle Surgery
- Foot Surgery
Languages spoken
- English
Location
First Address
- Dr. Jacob A Panici
- 1514 Glenwood Ave Glenwood Avenue Foot And Ankle, Pllc
- Raleigh, NC
- Zip : 27608-2368
- Fax : (919) 836-9094
- Phone : (919) 829-0076
Second Address
- Dr. Jacob A Panici
- 103 Parkway Office Ct Ste 100
- Cary, NC
- Zip : 27518-7429
- Phone : (919) 481-3338
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213EP1101X | Primary Podiatric Medicine | 635 | NC |
| N | 213ES0103X | Foot & Ankle Surgery | 635 | NC |
| N | 213ES0131X | Foot Surgery | 635 | NC |
National Provider Identifier
| NPI | 1255773222 |
|---|---|
| Provider Name | Dr. Jacob A Panici |
| First Address | Raleigh, NC 27608-2368 |
| Second Address | Cary, NC 27518-7429 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/07/2013 |
| Last Update Date | 22/08/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 4861725 | AETNA (01) | NC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.