WAKE HEART AND VASCULAR ASSOCIATES PA (NPI# 1487883278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487883278 |
| Entity Type | Organization |
| Organization Name | WAKE HEART AND VASCULAR ASSOCIATES PA |
| Practice Address |
6905 Knightdale Blvd 103 Knightdale NC 27545-6505 |
| Practice Telephone | 9195731220 |
| Practice Fax Number | 9195731215 |
| Mailing Telephone | 9195731220 |
| Mailing Fax Number | 9195731215 |
| Enumeration Date | 2009-07-14 |
| Last Update Date | 2009-07-14 |
| 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 | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891011136 | Wake Heart and Vascular Associates Pa | Specialist | 2609 Medical Office Pl, Goldsboro, NC 27534-9428 | 2010-04-12 |
| Street Address |
6905 KNIGHTDALE BLVD 103 |
| City | KNIGHTDALE |
| State | NC |
| Zip Code | 27545-6505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154305548 | Robert Stark Adams Jr. | Family Medicine | 6905 Knightdale Blvd, Ste 106, Knightdale, NC 27545-6505 | 2005-11-30 |
| 1558800060 | Katie Hester | Physical Therapist | 6905 Knightdale Blvd, 102, Knightdale, NC 27545-6505 | 2017-02-16 |
| 1639594369 | Corner Drug Stores of Knightdale, Inc | Pharmacy | 6905 Knightdale Blvd, Suite 102, Knightdale, NC 27545-6505 | 2014-03-04 |
| 1144655333 | Melanie Blankenship White | Nurse Practitioner | 6905 Knightdale Blvd, Suite 106, Knightdale, NC 27545-6505 | 2013-09-06 |
| 1023397171 | Unc Physicians Network, LLC | Family Medicine | 6905 Knightdale Blvd, Suite #106, Knightdale, NC 27545-6505 | 2011-08-08 |
| 1356655302 | Physician Services, P.C. | Family Medicine | 6905 Knightdale Blvd, Knightdale, NC 27545-6505 | 2010-08-02 |
| 1689804403 | Knightdale Family Practice | Non-Pharmacy Dispensing Site | 6905 Knightdale Blvd, Suite 106, Knightdale, NC 27545-6505 | 2009-07-15 |
| 1437352895 | Li Zhou | Family Medicine | 6905 Knightdale Blvd, Suite 106, Knightdale, NC 27545-6505 | 2007-06-06 |
| 1063459352 | Kathryn Rena Hodges | Physician Assistant | 6905 Knightdale Blvd, Suite 106, Knightdale, NC 27545-6505 | 2006-06-02 |
| 1396706289 | Mary Gaffney Conley | Family Medicine | 6905 Knightdale Blvd, Knightdale, NC 27545-6505 | 2006-03-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639688526 | Galberth Health | Physical Therapist | 8002 Peachtree Town Ln, Knightdale, NC 27545 | 2017-09-24 |
| 1790215390 | Edward Hoggard Jr. | Counselor | 2013 Ballston Place, Knightdale, NC 27545 | 2017-06-15 |
| 1730635970 | Tara Forsythe | Social Worker | 4006 Peachtree Town Lane, Knightdale, NC 27545 | 2016-08-28 |
| 1134504962 | Maybell Grino | Pharmacist | 7201 Us Highway 64, Knightdale, NC 27545 | 2015-07-22 |
| 1477948735 | Q1 Clinical Consultants, LLC | Community/Behavioral Health | 1408 Silver Valley Dr, Knightdale, NC 27545 | 2015-04-03 |
| 1235560772 | Shameka Latoya Davis | Counselor | 7417 Knightdale Blvd Unit 101, Knightdale, NC 27545 | 2013-12-10 |
| 1992135107 | Daniel Ross Conti | Dentist | 1001 Widewaters Parkway, Knightdale, NC 27545 | 2013-11-25 |
| 1255773644 | David D Sanjurjo | Nurse Practitioner | 7201 Us Hwy 64, Knightdale, NC 27545 | 2013-07-25 |
| 1790037133 | Dona D Mayo | Counselor | 502 Mcknight Drive, Better Communities, Knightdale, NC 27545 | 2012-10-09 |
| 1699972257 | Lindsay Horwat | Occupational Therapist | 1010 Emerald Common Drive, Apartment 205, Knightdale, NC 27545 | 2007-06-28 |
| Find all providers in zip 27545 | ||||
| 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 |
|---|---|---|---|---|
| 1982040606 | Carmelesha Angelette Matthewson | Specialist | 1908 Village Squire Cir, Knightdale, NC 27545-5951 | 2013-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659989812 | Ryan Graham | Specialist | 405 Avett Dr, Durham, NC 27703-8291 | 2020-07-14 |
| 1184248197 | Tunishia Chanel Parks | Specialist | 106 Daniels Ave, Battleboro, NC 27809-7503 | 2020-06-05 |
| 1306460811 | Ashley Davis | Specialist | 765 Highland Oaks Dr Ste 100, Winston Salem, NC 27103-7100 | 2020-06-01 |
| 1083236996 | Latisha Isheema Buchanan | Specialist | 3215 Guess Rd Ste 101, Durham, NC 27705-2668 | 2020-05-13 |
| 1356962872 | Katherine Joy Griffin | Specialist | 1112 Bottle Brush Ln, Harrisburg, NC 28075-6716 | 2020-05-06 |
| 1174158315 | Shanese Spaulding | Specialist | 309 N Elm St, Lumberton, NC 28358-5649 | 2020-03-09 |
| 1417590290 | Sarah Lyn Granahan | Specialist | 107 Windel Dr Ste 205, Raleigh, NC 27609-4471 | 2019-10-23 |
| 1215580949 | Felisha Cheadle | Specialist | 240 Appalachian Dr, Raeford, NC 28376-6342 | 2019-07-22 |
| 1962062240 | Shenika Twanet Judd | Specialist | 724 N Reilly Rd Ste C, Fayetteville, NC 28303-6042 | 2019-06-18 |
| 1033676358 | Suzanne Lynn Washburn | Specialist | 307 Barcelona Drive 26e, Fayetteville, NC 28303-5768 | 2019-02-22 |
| Find all providers with the same taxonomy | ||||
| City | KNIGHTDALE |
| Zip Code | 27545 |
Please comment or provide details below to improve the information on WAKE HEART AND VASCULAR ASSOCIATES PA.
| 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.