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VISTAR MEDICAL CLINIC PA
NPI 1730260134
Internal Medicine in Raleigh, NC

Active since October 18, 2006
1004 BULLARD CT, SUITE 101, RALEIGH, NC 27615(919) 255-3511(888) 249-0062 Get Directions Write a Review

NPPES record last updated: February 13, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Feb 13, 2020, Jan 24, 2017 (2 updates tracked since 2017).

About Vistar Medical Clinic Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VISTAR MEDICAL CLINIC PA (NPI 1730260134) is a healthcare organization registered as an internal medicine in Raleigh, North Carolina and active in the NPI registry since October 2006. The organization lists Maximus Eziudo Onuoha, Chairman & Ceo, as its authorized official.

NPPES Registry Identity

NPI1730260134
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameVISTAR MEDICAL CLINIC PA
Location Address1004 BULLARD CT, SUITE 101Raleigh, NC 27615-6853
Mailing AddressPo Box 40028Raleigh, NC 27629-0028 · (919) 255-3511 · Fax (888) 249-0062
Phone(919) 255-3511
Fax(888) 249-0062
Organization SubpartNo
Authorized OfficialMaximus Eziudo OnuohaChairman & Ceo · (919) 255-3511
Enumeration DateOctober 18, 2006
Last NPPES UpdateFebruary 13, 20202 updates tracked since enumeration
✔ NPI 1730260134 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NC · 94-00118
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1004 BULLARD CT, Raleigh, NC 27615
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Other Identifiers 1

Medicaid5950436NC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JOSEPH MILTON BUTLER JR. D.D.S.
Dentist (General Practice)
1004 BULLARD CT, SUITE 101
RALEIGH, NC 27615
Wake County (919) 850-0303

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vistar Medical Clinic PA's NPI number?

The NPI number for Vistar Medical Clinic PA is 1730260134. It was assigned to this organization in the NPPES registry on October 18, 2006.

Where is Vistar Medical Clinic PA located?

Vistar Medical Clinic PA is located at 1004 Bullard Ct Suite 101, Raleigh, NC 27615. The listed phone number is (919) 255-3511.

What is Vistar Medical Clinic PA's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Vistar Medical Clinic PA was last updated on February 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.