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NORTH CAROLINA VASCULAR SPECIALISTS PA NPI 1811404999


NPI Information

NPI: 1811404999
Provider Name: NORTH CAROLINA VASCULAR SPECIALISTS, PA
Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

CLIA Number: 34D0240774

Address:
3713 BENSON DR STE 202
RALEIGH, NC
ZIP 27609
Phone: (919) 532-2144
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NORTH CAROLINA VASCULAR SPECIALISTS, PA is a vascular surgery surgery in Raleigh, NC. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. NORTH CAROLINA VASCULAR SPECIALISTS, PA NPI is 1811404999. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3713 BENSON DR STE 202
RALEIGH, NC
ZIP 27609-372
Phone: (919) 532-2144
Fax: (919) 532-2143

The provider's authorized official is James E Fogartie .
The authorized official title is President and has the following contact phone number (919) 605-6092.

The CLIA number assigned to this NPI record is 34D0240774 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 1/10/2018 and was last updated on 1/10/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12086S0129XSurgeryVascular Surgery9700951NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1891065XMEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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