CAROLINA GASTROENTEROLOGY PA (NPI# 1396886909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396886909 |
| Entity Type | Organization |
| Organization Name | CAROLINA GASTROENTEROLOGY PA |
| Practice Address |
570 New Waverly Pl Suite 140 Cary NC 27518 |
| Mailing Address |
Po Box 2016 Cary NC 27512-2016 |
| Practice Telephone | 9198542500 |
| Practice Fax Number | 9198542510 |
| Mailing Telephone | 9198542500 |
| Mailing Fax Number | 9198542510 |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2008-04-23 |
| Authorized Official Name | DR. VINOD CHITA VALLABH (PRESIDENT) |
| Authorized Official Telephone | 9198542500 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS STATE | 85119 | 01 |
| NC | 7985119 | 05 | |
| NC | BCBS FEDRAL | 85119 | 01 |
| NC | BLUE CROSS | 017NU | 01 |
| Street Address |
570 NEW WAVERLY PL SUITE 140 |
| City | CARY |
| State | NC |
| Zip Code | 27518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750382016 | William Vasios | Physician Assistant | 570 New Waverly Pl, Suite 210, Cary, NC 27511-7405 | 2005-08-09 |
| 1184096448 | Ira S Tucker Od and Associates Pllc | Optometrist | 570 New Waverly Pl, Suite 110, Cary, NC 27518-7405 | 2015-10-27 |
| 1295123719 | Catherine Blevins Lilly | Social Worker | 570 New Waverly Pl, Suite 210, Cary, NC 27518-7405 | 2015-01-06 |
| 1508269085 | Life Compass 101, Pllc | Counselor | 570 New Waverly Pl, Suite 220, Cary, NC 27518-7405 | 2014-09-29 |
| 1912134537 | Total Joint Care Pa | Orthopaedic Surgery | 570 New Waverly Pl, Suite 130, Cary, NC 27518-7405 | 2009-06-22 |
| 1891936886 | Dr. Ira Tucker and Associates | Optometrist | 570 New Waverly Pl, Suite 110, Cary, NC 27518-7405 | 2009-03-20 |
| 1467653790 | Jessica Strickland Pulliam | Physician Assistant | 570 New Waverly Pl, St 210, Cary, NC 27518-7405 | 2007-05-31 |
| 1659411635 | Wellness Family Practice, P.a. | Non-Pharmacy Dispensing Site | 570 New Waverly Pl, 130, Cary, NC 27511-7405 | 2007-02-07 |
| 1437203569 | Ira Stephen Tucker | Optometrist | 570 New Waverly Pl, Suite 110, Cary, NC 27511-7405 | 2007-01-23 |
| 1780608075 | Stephanie Turner | Nurse Practitioner | 570 New Waverly Pl, Suite 130, Cary, NC 27511-7405 | 2006-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932730801 | Fuller & Associates Iv, Pllc | Dentist | 3420 Ten-ten Road, Suite 310, Cary, NC 27518 | 2020-01-30 |
| 1649761602 | Uday N Reebye, Md. Dmd, Pa | Dentist | 431 Keisler Dr Ste 101, Cary, NC 27518 | 2018-05-25 |
| 1164912093 | Cary Dental Rejuvenation | Dentist | 155 Parkway Office Court, Suite 104, Cary, NC 27518 | 2018-05-16 |
| 1104337021 | Kaylah Mckinley Black | Nurse Practitioner | 530 New Waverly Pl Ste 301, Cary, NC 27518 | 2017-10-18 |
| 1013442961 | Amber Pinsky | Occupational Therapist | 5310 Woodfield Lake Road, Cary, NC 27518 | 2017-04-28 |
| 1750733564 | Maureen Lyons Reardon | Psychologist | 2500 Regency Parkway, Cary, NC 27518 | 2016-07-05 |
| 1730539651 | Anna Liakh | Dentist | 8204 Tryon Woods Dr, Cary, NC 27518 | 2016-06-21 |
| 1609236173 | Matthew John Myschisin II | Chiropractor | 4312 Farm Brook Dr, Cary, NC 27518 | 2016-02-26 |
| 1003299405 | Amanda Lee Morris | Social Worker | 531 Keisler Dr Ste 104, Cary, NC 27518 | 2015-07-02 |
| 1053791343 | Duke University Affiliated Physicians | Family Medicine | 530 Waverly Place, Suite 101, Cary, NC 27518 | 2015-06-02 |
| Find all providers in zip 27518 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346889292 | Park Gastroenterology, Pllc | Internal Medicine | 7560 Carpenter Fire Station Rd Ste 303, Cary, NC 27519-9637 | 2019-12-24 |
| 1962620997 | Kurt G Vernon Md Pa | Internal Medicine | 3412 Birk Bluff Ct, Cary, NC 27518 | 2007-04-23 |
| 1336177294 | Douglas Brian Pritchett | Internal Medicine | 1120 Se Cary Pkwy Ste 204, Cary, NC 27518 | 2006-06-29 |
| 1245204700 | North Raleigh Gastroenterology, P.a. | Internal Medicine | 1505 Sw Cary Pkwy Ste 309, Cary, NC 27511 | 2006-02-13 |
| 1548689771 | Jinyu Zhang | Internal Medicine | 115 Kildaire Park Dr Ste 201, Cary, NC 27518-8144 | 2014-04-15 |
| 1871715813 | Shannon Scholl | Internal Medicine | 115 Kildaire Park Dr Ste 201, Cary, NC 27518-8144 | 2007-05-02 |
| 1205975398 | Subhash Gumber | Internal Medicine | 530 New Waverly Pl, Suite 200, Cary, NC 27511-7414 | 2007-02-05 |
| 1922165018 | Cary Gastroenterology Associates Pa | Internal Medicine | 115 Kildaire Park Dr Ste 201, Cary, NC 27518-8144 | 2007-01-02 |
| 1982690996 | Indira M. Reddy | Internal Medicine | 530 New Waverly Pl, Suite 314, Cary, NC 27518-7414 | 2005-09-26 |
| 1174518880 | Vinod Chita Vallabh | Internal Medicine | 570 New Waverly Pl, #140, Cary, NC 27518-7405 | 2005-09-19 |
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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.