CAROLINA HEART PA NPI 1811953995

NPI Information

NPI: 1811953995
Provider Name: CAROLINA HEART PA
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
804 JOHNS HOPKINS DR
GREENVILLE, NC
ZIP 27834
Phone: (252) 757-1000
Get Directions

CAROLINA HEART PA is a cardiovascular disease internal medicine in Greenville, NC. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. CAROLINA HEART PA NPI is 1811953995. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

804 JOHNS HOPKINS DR
GREENVILLE, NC
ZIP 27834-222
Phone: (252) 757-1000
Fax: (252) 757-3045

The provider's authorized official is Peter B Wagner .
The authorized official title is President and has the following contact phone number (252) 757-1000.

The enumeration date for this NPI number is 4/26/2006 and was last updated on 9/7/2007.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	207RI0011X	Internal Medicine	Interventional Cardiology	No
2	207R00000X	Internal Medicine		No
3	363AM0700X	Physician Assistant	Medical	No
4	363LA2200X	Nurse Practitioner	Adult Health	No
5	207RC0000X	Internal Medicine	Cardiovascular Disease	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	890176A	MEDICAID	NORTH CAROLINA
2	CK0208	OTHER		RR MEDICARE GROUP NUMBER
3	230746	MEDICARE ID-TYPE UNSPECIFIED	NORTH CAROLINA	GROUP NUMBER
4	0176A	OTHER	NORTH CAROLINA	GROUP NUMBER

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: 4/28/2024

NPI Synchronization or Removal

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