CAPITAL HEART ASSOC, P A (NPI# 1437112661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437112661 |
| Entity Type | Organization |
| Organization Name | CAPITAL HEART ASSOC, P A |
| Other Organization Name | CAPITAL HEART ASSOCIATES, PA |
| Practice Address |
4201 Lake Boone Trl Suite 104 Raleigh NC 27607-7512 |
| Mailing Address |
Po Box 33155 Raleigh NC 27636-3155 |
| Practice Telephone | 9198810160 |
| Practice Fax Number | 9198810887 |
| Mailing Telephone | 9198810160 |
| Mailing Fax Number | 9198810887 |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2014-08-28 |
| Authorized Official Name | MR. JAMES GEORGE SCANLAN (PRESIDENT/CEO) |
| Authorized Official Telephone | 9198810160 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 890190E | 05 | |
| NC | BLUE CROSS/BLUE SHIELD | 0190E | 01 |
| NPI | 1437112661 | 01 | |
| AETNA | 5727215 | 01 | |
| RAILROAD MEDICARE | CL6139 | 01 |
| Other Name | Type Code |
|---|---|
| Capital Heart Associates, PA | Doing Business As Name - Organization |
| Street Address |
4201 LAKE BOONE TRL SUITE 104 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27607-7512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881680098 | Joseph Anthony Guzzo | Internal Medicine | 4201 Lake Boone Trl, Suite 104, Raleigh, NC 27607-7512 | 2005-09-22 |
| 1699383034 | Sarah Olivia Varner | Speech-Language Pathologist | 4201 Lake Boone Trl, Raleigh, NC 27607-7512 | 2020-07-22 |
| 1700445707 | Courtney Lynn Race | Occupational Therapist | 4201 Lake Boone Trl, Raleigh, NC 27607-7512 | 2019-06-12 |
| 1285118513 | Amanda Erin Mcguire | Occupational Therapist | 4201 Lake Boone Trl, Raleigh, NC 27607-7512 | 2018-09-22 |
| 1790227858 | Kelly Walsh | Physical Therapist | 4201 Lake Boone Trl, Suite 4, Raleigh, NC 27607-7512 | 2016-11-07 |
| 1891145355 | Anna Lawrence | Speech-Language Pathologist | 4201 Lake Boone Trl, Suite 4, Raleigh, NC 27607-7512 | 2016-06-15 |
| 1629427836 | Christine A Halstead | Speech-Language Pathologist | 4201 Lake Boone Trl, Suite 4, Raleigh, NC 27607-7512 | 2016-06-08 |
| 1700231156 | Megan Puryear | Speech-Language Pathologist | 4201 Lake Boone Trl, Raleigh, NC 27607 | 2016-05-03 |
| 1710345913 | Carly Kohler | Occupational Therapist | 4201 Lake Boone Trl, Suite 4, Raleigh, NC 27607-7512 | 2016-02-02 |
| 1780064105 | Samantha Vrooman | Audiologist | 4201 Lake Boone Trl, Suite 105, Raleigh, NC 27607-7512 | 2015-06-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972093144 | Kyndra Lawson | Behavior Technician | 5121 Kingdom Way, Suite 100, Raleigh, NC 27607 | 2018-05-14 |
| 1578082905 | Margaret Roberts Bova | Dietitian, Registered | 4207 Lake Boone Trail, Suite 210, Raleigh, NC 27607 | 2017-09-18 |
| 1184141897 | Chricat Garrard | Nurse Practitioner | 4207 Lake Boone Trl Ste 200, Raleigh, NC 27607 | 2017-08-23 |
| 1487178620 | John Patrick Morton | Pharmacist | 2411 Landmark Dr, Raleigh, NC 27607 | 2017-07-31 |
| 1023538857 | Heather Margaret Mazzola | Audiologist | 7800 Lake Boone Trail, 100, Raleigh, NC 27607 | 2017-06-22 |
| 1790216984 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2411 Landmark Drive, Raleigh, NC 27607 | 2017-03-21 |
| 1558819516 | Corilin Nocito Meggitt | Nurse Practitioner | 4505 Fair Meadows Ln Ste 102, Raleigh, NC 27607 | 2016-09-19 |
| 1942757034 | Stacie Walker | Obstetrics & Gynecology | 4414 Lake Boone Trl Ste 311, Raleigh, NC 27607 | 2016-09-06 |
| 1831644533 | Alisa Smajlagic Howe | Nurse Practitioner | 4210 Lake Boone Trail, Rex Rehab & Nursing Center, Raleigh, NC 27607 | 2016-08-23 |
| 1235598632 | Yoseph Saleh | Dentist | 107 Minden Ln, Raleigh, NC 27607 | 2016-02-15 |
| Find all providers in zip 27607 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| 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. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1841713187 | Wake Specialty Physicians LLC | Internal Medicine | 3000 New Bern Ave Ste 1200, Raleigh, NC 27610-1231 | 2017-07-19 |
| 1407919285 | Angelo Milazzo | Internal Medicine | 3713 Benson Dr Ste 202, Raleigh, NC 27609-7372 | 2006-12-19 |
| 1639253529 | James Wilson Peterson | Internal Medicine | 3320 Wake Forest Rd., Suite 200, Raleigh, NC 27609 | 2006-10-25 |
| 1821010067 | Walter Tan | Internal Medicine | 3000 New Bern Ave Ste 1100, Wpp - Structural Heart, Raleigh, NC 27610-1231 | 2006-07-24 |
| 1164485033 | Glenndale Moore | Internal Medicine | 2949 New Bern Ave, Suite 112-a, Raleigh, NC 27610-1248 | 2006-04-10 |
| 1881680098 | Joseph Anthony Guzzo | Internal Medicine | 4201 Lake Boone Trl, Suite 104, Raleigh, NC 27607-7512 | 2005-09-22 |
| 1972508661 | George Rayburn Cheely | Internal Medicine | 3000 New Bern Ave, Ste 1200, Raleigh, NC 27610-1231 | 2005-06-17 |
| 1245235506 | Sagir Ahmed | Internal Medicine | 3811 Ed Dr, Suite 130, Raleigh, NC 27612-2392 | 2005-06-14 |
| 1104480532 | Wakemed Specialists Group, LLC | Internal Medicine | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2019-05-01 |
| 1720643174 | Wakemed Specialists Group, LLC | Internal Medicine | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2019-05-01 |
| Find all providers in RALEIGH | ||||
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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.