0010-01995
Active
No
09/03/2009
11/26/2026
Active Supervisor
| Name | Type | Status | Approved | Inactive |
|
Defreitas, Dorian Joseph, MD
| MD |
Active
|
07/26/2012
|
|
|
Kim, Jason Kwangyon, MD
| MD |
Active
|
10/14/2013
|
|
|
Knowles, Martyn, MD
| MD |
Active
|
09/12/2015
|
|
|
Mendes, Robert Ralph, MD
| MD |
Active
|
02/13/2012
|
|
|
Nanez, Liliana, MD
| MD |
Active
|
09/12/2016
|
|
|
Smith, Stephen Wayne, MD
| MD |
Active
|
04/21/2011
|
|
North Carolina Hospital Admitting Privileges
Out of State Active/Inactive Licenses
Out of Country Active/Inactive Licenses
Address
Rex Vascular Specialists
4414 Lake Boone Trl, Ste 505
Raleigh, NC 27607
919-784-2300
Information
PA School
| School | Graduation |
| None Reported |
Area of Practice
| Area Of Practice | Primary |
| Internal Medicine | |
| Interventional and Vascul | |
| Vascular and Interventional Radiology | |
| Vascular Surgery | Yes |
Current Membership in Medical Professional Organizations
| Membership |
| American Academy of Physician Assistants |
| North Carolina Academy of Physician Assistants |
| Society for Vascular Ultrasound |
| Society of Diagnostic Medical Sonography |
Honors & Awards
| Honor/Award | Given By | Date |
| None Reported |
Public Service
| Name of Clinic | Service Description | Date |
| None Reported |
Current Academic Appointments
| Title | Institution | City, State, Country |
| None Reported |
Publications
Section 1: Adverse Actions
North Carolina Medical Board Public Actions
| Date | Description | Link |
| None Reported |
Other Regulatory Board or Agency Public Actions
| Date | Name of Board/Agency | Action Taken | Link |
| None Reported |
Health Care Institution Suspensions and Revocations
| Date | Health Care Institution | Action Taken |
| None Reported |
Section 2: Administrative Actions
Actions listed in this section are considered non-disciplinary by the Board. In situations where
administrative actions are taken, the licensee may not have met certain statutory requirements or
may have failed to follow correct administrative procedures.
North Carolina Medical Board Reentry Agreement
| Date | Description | Link |
| None Reported |
North Carolina Special Purpose Licensing Agreement
| Date | Description | Link |
| None Reported |
Malpractice Information
The Board is currently reviewing the care that led to this payment.
| Incident Date | Payment Date | Area of Practice | City, State, Country | Response |
| None Reported |
Misdemeanor/DUI/DWI Conviction Information
| Conviction Date | Conviction | Jurisdiction | Sentence |
| None Reported |
Felony Conviction Information
| Conviction Date | Conviction | Jurisdiction | Sentence |
| None Reported |