Provider Demographics
NPI:1639364227
Name:WENDELL MEDICAL CENTER PA
Entity Type:Organization
Organization Name:WENDELL MEDICAL CENTER PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:SAYED
Authorized Official - Middle Name:A
Authorized Official - Last Name:HASHEMEE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:919-365-7366
Mailing Address - Street 1:PO BOX 1900
Mailing Address - Street 2:
Mailing Address - City:WENDELL
Mailing Address - State:NC
Mailing Address - Zip Code:27591-1900
Mailing Address - Country:US
Mailing Address - Phone:919-365-7366
Mailing Address - Fax:
Practice Address - Street 1:217 COOK STREET
Practice Address - Street 2:
Practice Address - City:WENDELL
Practice Address - State:NC
Practice Address - Zip Code:27591
Practice Address - Country:US
Practice Address - Phone:919-365-7366
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-07
Last Update Date:2010-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9400072207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC196531OtherWELLPATH
NC2107730OtherMAMSI/ALLIANCE
NC3226618OtherCIGNA
NC9641197OtherGHI
C6083OtherMEDCOST
NC40373OtherBLUE CROSS BLUE SHIELD
NC8940203Medicaid
NCP00011384OtherRAILROAD MEDICARE
NC232992102OtherUNITED HEALTHCARE
NC5987473OtherAETNA
NC805714OtherPARTNERS
NC9641197OtherGHI
NC805714OtherPARTNERS
NC8940203Medicaid