CAROLINA VASCULAR WELLNESS, PLLC (NPI# 1134371594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134371594 |
| Entity Type | Organization |
| Organization Name | CAROLINA VASCULAR WELLNESS, PLLC |
| Practice Address |
5318 Highgate Dr Suite 135 Durham NC 27713-6630 |
| Practice Telephone | 9192263694 |
| Practice Fax Number | 9192263699 |
| Mailing Telephone | 9192263694 |
| Mailing Fax Number | 9192263699 |
| Enumeration Date | 2008-10-16 |
| Last Update Date | 2010-06-18 |
| Authorized Official Name | MR. PETER MARIO MOHR (CEO) |
| Authorized Official Telephone | 9192263694 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| N | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians | ||
| N | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
Allopathic & Osteopathic Physicians | ||
| N | 293D00000X | Physiological Laboratory | Laboratories | ||
| N | 247100000X | Radiologic Technologist | Technologists, Technicians & Other Technical Service Providers | ||
| N | 163W00000X | Registered Nurse | Nursing Service Providers | ||
| N | 163WI0500X |
Registered Nurse Specialization: Infusion Therapy |
Nursing Service Providers | ||
| N | 163WX0200X |
Registered Nurse Specialization: Oncology |
Nursing Service Providers | ||
| N | 261QI0500X |
Clinic/Center Specialization: Infusion Therapy |
Ambulatory Health Care Facilities | ||
| Y | 174400000X | Specialist | 2006-00963 | NC | Other Service Providers |
| Street Address |
5318 HIGHGATE DR SUITE 135 |
| City | DURHAM |
| State | NC |
| Zip Code | 27713-6630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073571980 | Barbara Ellen Roeber | Physical Therapist | 5318 Highgate Dr, Suite 134, Durham, NC 27713-6630 | 2006-05-02 |
| 1306242862 | Daniel Moloney | Physical Therapist | 5318 Highgate Dr, Durham, NC 27713-6630 | 2014-11-11 |
| 1750713194 | Next Step Psychology Pllc | Clinical Neuropsychologist | 5318 Highgate Dr, Suite 132, Durham, NC 27713-6630 | 2013-08-08 |
| 1700228673 | Kari Lenox, Ph.d., Pllc | Psychologist | 5318 Highgate Dr, Durham, NC 27713-6630 | 2013-07-21 |
| 1710254651 | Leesha Ann Brady | Counselor | 5318 Highgate Dr, Suite 231, Durham, NC 27713-6630 | 2011-11-21 |
| 1467750067 | Sarah Smith | Massage Therapist | 5318 Highgate Dr, Suite 132, Durham, NC 27713-6630 | 2011-03-05 |
| 1306176490 | Carolyn Pender Roche | Clinical Neuropsychologist | 5318 Highgate Dr, Suite 132, Durham, NC 27713-6630 | 2010-01-12 |
| 1194054684 | Fit Physical Therapy | Physical Therapist | 5318 Highgate Dr, Suite 134, Durham, NC 27713-6630 | 2009-12-14 |
| 1114253762 | Jane Hollings | Counselor | 5318 Highgate Dr, Ste 131, Durham, NC 27713-6630 | 2009-11-02 |
| 1639392756 | Kari Fitzgerald Lenox | Counselor | 5318 Highgate Dr, Suite 132, Durham, NC 27713-6630 | 2007-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558977074 | Zoe Wellness | Clinic/Center | 5322 Nc 55, 102, Durham, NC 27713 | 2020-09-21 |
| 1194352542 | Mariah Davis | Counselor | 1822 East Hwy Nc 54, Suite 300, Durham, NC 27713 | 2020-03-25 |
| 1316589138 | Monarch | Community/Behavioral Health | 1513 Piperwood Court, Durham, NC 27713 | 2019-10-14 |
| 1205486081 | Lisa Mesmer Barnes | Nurse Practitioner | 5309hwy 55, Suite 105, Durham, NC 27713 | 2019-09-13 |
| 1497315352 | Mary Therese Wood | Social Worker | 1822 E Highway 54, Suite 300, Durham, NC 27713 | 2019-06-13 |
| 1720558307 | Kevin D Simmons | Counselor | 1822 Nc Hwy 54 Suite 300, Durham, NC 27713 | 2018-11-27 |
| 1790265585 | Kelli Cryer | Counselor | 54 E Nc Hwy 1822, Suite 300, Durham, NC 27713 | 2018-08-21 |
| 1477039253 | Mahavir Rx, LLC | Pharmacy | 6216 Fayetteville Rd Ste 105, Durham, NC 27713 | 2018-07-16 |
| 1811482862 | Tessa Taylor | Dentist | 2515 E Nc Highway 54 Ste 2000, Durham, NC 27713 | 2018-06-22 |
| 1013401579 | Emily Louise Haller | Counselor | 1822 E Hwy 54, Suite 300, Durham, NC 27713 | 2018-06-19 |
| Find all providers in zip 27713 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659989812 | Ryan Graham | Specialist | 405 Avett Dr, Durham, NC 27703-8291 | 2020-07-14 |
| 1083236996 | Latisha Isheema Buchanan | Specialist | 3215 Guess Rd Ste 101, Durham, NC 27705-2668 | 2020-05-13 |
| 1629549647 | Lashone M Blue | Specialist | 3315 Guess Rd Unit 9, Durham, NC 27705-6907 | 2018-12-17 |
| 1013443324 | Chakib Maurice Ayoub | Specialist | 3611 University Dr, Apt#06e, Durham, NC 27707-6209 | 2017-05-05 |
| 1194178855 | Shimin Jasmine Chung | Specialist | 2616 Erwin Rd Apt 2531, Durham, NC 27705-3895 | 2016-07-18 |
| 1669896858 | Ted Mulligan | Specialist | 4 Rocky Ln, Durham, NH 03824-1947 | 2014-02-10 |
| 1497017537 | North Carolina Center for Physical Therapy | Specialist | 5832 Fayetteville Road, Suite 106, Durham, NC 27713-6290 | 2012-06-14 |
| 1295006450 | Wayne Matthew Dankner | Specialist | 2520 Meridian Pkwy, Durham, NC 27713-4202 | 2012-01-19 |
| 1417266628 | Sharon M Fisher | Specialist | 2562 Durham Dayton Hwy, Apt A, Durham, CA 95938-9654 | 2010-10-05 |
| 1497088538 | Latosha Ward | Specialist | M04 Davison Bldg, Durham, NC 27710-0833 | 2009-09-08 |
| Find all providers in DURHAM | ||||
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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.