WAKE HEART AND VASCULAR ASSOCIATES P.A. (NPI# 1184622334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184622334 |
| Entity Type | Organization |
| Organization Name | WAKE HEART AND VASCULAR ASSOCIATES P.A. |
| Practice Address |
2076 Nc Highway 42 W 100 Clayton NC 27520-9226 |
| Practice Telephone | 9193590322 |
| Practice Fax Number | 9193590326 |
| Mailing Telephone | 9193590322 |
| Mailing Fax Number | 9193590326 |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2010-01-08 |
| Authorized Official Name | MRS. DEE DARKES (ADMINISTRATOR) |
| Authorized Official Telephone | 9194201342 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | ========= | NC | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 89-012UC | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891012324 | Wake Heart and Vascular Associates P.a. | Specialist | 1966 S Main St, Wake Forest, NC 27587-9336 | 2010-04-23 |
| 1235111527 | Wake Heart and Vascular Associates P.a. | Specialist | 700 Tilghman Dr, 728, Dunn, NC 28334-5519 | 2005-11-14 |
| 1306827738 | Wake Heart and Vascular Associates P.a. | Specialist | 603 Beaman St, Clinton, NC 28328-2650 | 2005-11-11 |
| 1831197144 | Wake Heart and Vascular Associates P.a. | Specialist | 4325 Lake Boone Trl, 315, Raleigh, NC 27607-7509 | 2005-07-11 |
| 1780877795 | Wake Heart and Vascular Associates P.a. | Specialist | 500 Redwood Ln, Louisburg, NC 27549-2678 | 2007-08-22 |
| 1194761452 | Wake Heart and Vascular Associates P.a. | Specialist | 10000 Falls of Neuse Rd, Suite 204, Raleigh, NC 27614-7838 | 2006-06-22 |
| 1326020611 | Wake Heart and Vascular Associates P.a. | Specialist | 1031 W Williams St, 105-b, Apex, NC 27502-3955 | 2005-11-14 |
| 1265430342 | Wake Heart and Vascular Associates P.a. | Specialist | 3320 Wake Forest Rd, 204, Raleigh, NC 27609-7300 | 2005-07-12 |
| 1437157518 | Wake Heart and Vascular Associates P.a. | Specialist | 910 Berkshire Rd, Smithfield, NC 27577-4751 | 2005-07-12 |
| 1871591172 | Wake Heart and Vascular Associates P.a. | Specialist | 3000 New Bern Ave, G-100, Raleigh, NC 27610-1231 | 2005-07-11 |
| Street Address |
2076 NC HIGHWAY 42 W 100 |
| City | CLAYTON |
| State | NC |
| Zip Code | 27520-9226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013915552 | Benjamin Granger Atkeson | Internal Medicine | 2076 Nc Highway 42 W, 100, Clayton, NC 27520-5302 | 2005-07-08 |
| 1508358946 | Bryan Koprowski | Specialist/Technologist | 2076 Nc Highway 42 W, Clayton, NC 27520-5302 | 2018-06-01 |
| 1679024848 | Rdmg Associates Pa | Physician Assistant | 2076 Nc Highway 42 W, Suite 230, Clayton, NC 27520-5302 | 2016-10-21 |
| 1295107043 | Thanh Thanh Tran | Physician Assistant | 2076 Nc Highway 42 W, Ste 230, Clayton, NC 27520-5302 | 2015-10-20 |
| 1164825956 | Kyle J Pusey | Physician Assistant | 2076 Nc Highway 42 W, Ste 100, Clayton, NC 27520-5302 | 2014-10-07 |
| 1285066274 | Triangle Premier Women's Health, Pllc | Obstetrics & Gynecology | 2076 Nc Highway 42 W, Suite 110, Clayton, NC 27520-5302 | 2013-08-01 |
| 1023354024 | Anna Sullivan Bruton | Nurse Practitioner | 2076 Nc Highway 42 W, Suite 330, Clayton, NC 27520-5302 | 2012-12-19 |
| 1770878399 | Craig S Carter Md Facs Pa | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2076 Nc Highway 42 W, Suite 240, Clayton, NC 27520-5302 | 2011-06-11 |
| 1720371628 | Comprehensive Care Clinican Pllc | Physician Assistant | 2076 Nc Highway 42 W, Ste 240, Clayton, NC 27520-5302 | 2011-05-25 |
| 1932407889 | Jason Bradley Newman | Physician Assistant | 2076 Nc Highway 42 W, Ste 230, Clayton, NC 27520-5302 | 2011-03-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336750959 | Ebony Nichole Sanders | Driver | 312 Kilgo, Clayton, NC 27520 | 2020-08-17 |
| 1831701382 | Deawna Jackson | Social Worker | 205 Gracie Lane, Clayton, NC 27520 | 2020-08-17 |
| 1952947798 | Mac Partners LLC | Home Health | 10027 Hwy 70 Business, Suite B, Clayton, NC 27520 | 2019-11-26 |
| 1386291102 | Benjamin R Anderson | Physician Assistant | 2138 Nc 42, Clayton, NC 27520 | 2019-08-26 |
| 1396217923 | Lindsey R. Williams Dds, Pa | Dentist | 45 Shotwell Rd., Clayton, NC 27520 | 2018-12-20 |
| 1063987303 | Christopher James Lane | Physician Assistant | 2076 Nc 42 W, Suite 230, Clayton, NC 27520 | 2018-10-12 |
| 1245733971 | Cordelia O Emebo | Pharmacist | 11360 Old Us Hwy 70 West, Clayton, NC 27520 | 2018-03-08 |
| 1487166906 | Kendall Bonot Rodgers | Physician Assistant | 11491 Us 70 Bus Hwy W, Clayton, NC 27520 | 2017-10-25 |
| 1033620828 | Laura Nguyen | Physician Assistant | 2076 Nc-42, Suite 230, Clayton, NC 27520 | 2017-10-19 |
| 1467974394 | Liliana Galvan | Social Worker | 510 W Main St., Suit 100, Clayton, NC 27520 | 2017-07-12 |
| Find all providers in zip 27520 | ||||
| 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 |
|---|---|---|---|---|
| 1194112508 | Kelli Morris | Specialist | 4810 National Rd, Clayton, OH 45315-9714 | 2015-04-23 |
| 1023448883 | Danielle Catherine Kelly | Specialist | 93 E Trafalgar Ct, Clayton, NC 27520-3755 | 2013-11-14 |
| 1679828057 | Preston H. Bradshaw | Specialist | 3421 Oak Trl, Clayton, NC 27520-9353 | 2012-07-20 |
| 1164665782 | Sunset Medical Group | Specialist | 901 Town Centre Blvd, Suite 115, Clayton, NC 27520-2181 | 2009-04-13 |
| 1063619765 | David S Richmond | Specialist | Hc 67 Box 680, Clayton, ID 83227-9702 | 2007-06-27 |
| 1750508230 | Eldon L Jones | Specialist | 111 S Meramec, Clayton, MO 63105-1711 | 2007-04-19 |
| 1033213681 | Sharon L Gonzales | Specialist | 110 Walnut Street Office B, Clayton, NM 88415 | 2006-09-12 |
| 1265903298 | Cary Orthopaedic and Sports Medicine Specialists, P.a. | Specialist | 100 Guy Rd, Clayton, NC 27520-7206 | 2018-12-17 |
| 1952844458 | Danielle Toran LLC | Specialist | 889 S Brentwood Blvd, Suite 106, Clayton, MO 63105-2562 | 2016-12-01 |
| 1154668564 | Rose Ramirez | Specialist | 103 Walnut St, Clayton, NM 88415-3049 | 2013-01-07 |
| Find all providers in CLAYTON | ||||
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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.