CARDIAC THORACIC & VASCULAR ASSOCIATES OF EASTERN CAROLINA PLLC (NPI# 1063469179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063469179 |
| Entity Type | Organization |
| Organization Name | CARDIAC THORACIC & VASCULAR ASSOCIATES OF EASTERN CAROLINA PLLC |
| Practice Address |
960 Newman Rd New Bern NC 28562 |
| Mailing Address |
960 Newman Rd New Bern NC 28562-5200 |
| Practice Telephone | 2526336730 |
| Practice Fax Number | 2526336740 |
| Mailing Telephone | 2526336730 |
| Mailing Fax Number | 2526336740 |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2011-12-23 |
| Authorized Official Name | DR. MICHAEL EDWARD HALLIGAN (MEMBER MANAGER) |
| Authorized Official Telephone | 2526336730 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 9700577 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS | 018CH | 01 |
| NC | 5904329 | 05 |
| Street Address |
960 NEWMAN RD |
| City | NEW BERN |
| State | NC |
| Zip Code | 28562 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356305833 | Victor B Kim | Surgery | 960 Newman Rd, New Bern, NC 28562-5200 | 2006-04-13 |
| 1013418805 | Jaime Lee Murray | Family Medicine | 960 Newman Rd, New Bern, NC 28562 | 2018-02-27 |
| 1770852899 | Carolinaeast Physicians | Family Medicine | 960 Newman Rd, New Bern, NC 28562-5200 | 2011-12-19 |
| 1609178144 | Charles Bongsik Choe | Physician Assistant | 960 Newman Rd, New Bern, NC 28562-5200 | 2010-12-02 |
| 1669553400 | Piotr Dumicz | Surgery | 960 Newman Rd, New Bern, NC 28562-5200 | 2006-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235741943 | Benchmark Physical Therapy of Nc, LLC | Occupational Therapist | 2026 Waterscape Way Ste 13, New Bern, NC 28562 | 2020-08-24 |
| 1023677234 | Katie Rebecca Masters Dmd Pllc | Dentist | 2900 Doctor M L K Jr. Blvd, New Bern, NC 28562 | 2019-06-11 |
| 1093281750 | Try-care LLC | Mechanotherapist | 37 Shoreline Dr, New Bern, NC 28562 | 2018-10-22 |
| 1376021949 | Maykin Kimberly Boyd | Social Worker | 1405 A South Glenburnie Rd, New Bern, NC 28562 | 2018-08-05 |
| 1770069288 | Rebecca Ann Anderson Bright | Counselor | 3435 Belmont Blvd, New Bern, NC 28562 | 2018-07-17 |
| 1841799814 | Dallin Page | Physical Therapist | 2111 Neuse Blvd Suite K, New Bern, NC 28562 | 2018-02-06 |
| 1467960476 | Randolph Ntoko Esabe | Pharmacist | 258 Station House Rd, New Bern, NC 28562 | 2018-01-12 |
| 1881100568 | Reid Family Eye Care, Od, Pllc | Optometrist | 3105 Doctor M.l.k. Jr. Blvd, New Bern, NC 28562 | 2017-12-18 |
| 1851742050 | Harris Teeter, LLC | Durable Medical Equipment & Medical Supplies | 2032 Waterscape Way, New Bern, NC 28562 | 2016-06-29 |
| 1609241868 | Victor Montoyaamaya | Military Health Care Provider | 3331 Hardee Farms Dr, New Bern, NC 28562 | 2015-12-14 |
| Find all providers in zip 28562 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497903884 | Kecia Renee Simmons | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2203 Neuse Boulevard, Coastal Surgical Specialists, Pa, New Bern, NC 28560-4311 | 2008-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750681185 | Robin G Cummings | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 360 Tall Timbers Drive, Pinehurst, NC 28374 | 2010-11-02 |
| 1619294345 | Peter John Smit | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Department of Cardiothoracic Surgery, Wake Forest Baptist Hospital Medical Center Boulevard, Winston Salem, NC 27157 | 2010-04-20 |
| 1679707913 | Chayanin Vatcharasiritham | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 115 Heart Dr., Ecu Physicians, Greenville, NC 27834 | 2009-05-14 |
| 1871750406 | Betty Caroline Tong | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Duke South Rm 3589, Durham, NC 27710-0001 | 2008-05-21 |
| 1376715656 | Thomas George Caranasos | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3040 Burnett Womack Building, Campus Box 7065, Chapel Hill, NC 27599-7065 | 2008-03-27 |
| 1689859332 | Ansar Hassan | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Moye Blvd, Greenville, NC 27834-4300 | 2007-12-31 |
| 1801077268 | Pinehurst Surgical Clinic Pa | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 109 Physicians Park, Rockingham, NC 28379-5205 | 2007-11-14 |
| 1316047582 | Leon G Alexander | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 17200 Due West Dr, Charlotte, NC 28278-9003 | 2006-09-25 |
| 1023029485 | Joseph William Cook | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1001 Blythe Blvd Ste 300, Charlotte, NC 28203-5863 | 2006-08-11 |
| 1386669471 | Ivan David | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1912 Tradd Court, Wilmington, NC 28401-6637 | 2006-07-12 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.