CHAMPION HEART AND VASCULAR CENTER, OXFORD PLLC


Address: 1614 Williamsboro Street, Oxford, NC 27565
Phone: 9103041212

CHAMPION HEART AND VASCULAR CENTER, OXFORD PLLC (NPI# 1497378855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497378855
Entity Type Organization
Organization Name CHAMPION HEART AND VASCULAR CENTER, OXFORD PLLC
Practice Address 1614 Williamsboro Street
Oxford
NC 27565
Mailing Address 710 Erwin Rd
Dunn
NC 28334-4522
Practice Telephone 9103041212
Practice Fax Number 9102922627
Mailing Telephone 9103041212
Mailing Fax Number 9102922627
Enumeration Date 2020-05-20
Last Update Date 2020-05-20
Authorized Official Name DR. RADHKRISHNAN RAMARAJ (PRESIDENT)
Authorized Official Telephone 9103041212
Authorized Official Credential MD
Is Organization Subpart Y
Parent Organization Name CHAMPION HEART & VASCULAR CENTER, PA

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RI0011X Internal Medicine
Specialization: Interventional Cardiology
Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Champion Heart and Vascular Center, Oxford PLLC Other Name - Individual/Organization

Office Location

Street Address 1614 WILLIAMSBORO STREET
City OXFORD
State NC
Zip Code 27565

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1528536059 Bridget Shouse Clark Social Worker 6271 Horner Siding Rd, Oxford, NC 27565 2018-11-02
1972038495 Brittany Adams Pharmacist 215 Williamsboro Street, Oxford, NC 27565 2017-04-21
1487199568 Duke University Affiliated Physicians, Inc. Family Medicine 1490 Williamsboro St., Oxford, NC 27565 2016-12-29
1801343819 Four County Orthopedics Pa Orthopaedic Surgery 103 Professional Park Drive, Suite C, Oxford, NC 27565 2016-09-07
1548644842 Drake Frazier and Mcneal, Dds, Pa Dentist 115 Williamsboro St., Oxford, NC 27565 2015-07-16
1982082251 Colleen Moore Pharmacist 700 B Hillsboro St, Oxford, NC 27565 2015-05-07
1073753497 Yashica Yvonne Ruffin Family Medicine 1015 Lewis Street, Oxford, NC 27565 2009-02-25
1205021631 Helping Hands Alternative Inc Home Health 121 East Mcclanahan Street, Oxford, NC 27565 2007-09-10
1730380874 Hushang Ghodrat, Dds, Pa Dentist 1419 College Street, Suite B, Oxford, NC 27565 2007-05-29
1679780951 William Alexander Drake Dentist 1215 Se Industry Dr., Oxford, NC 27565 2007-05-17
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Taxonomy Information

Taxonomy Code 207RI0011X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Interventional Cardiology

Taxonomy Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine)

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1508364886 Cardiac Cin of Charlotte LLC Internal Medicine 15720 Brixham Hill Ave Ste 300c, Charlotte, NC 28277-4784 2018-01-31
1972001246 Cardiac Cin of Raleigh LLC Internal Medicine 555 Fayetteville St Ste 201-279, Raleigh, NC 27601-3030 2018-01-31
1568973360 Novant Medical Group Inc. Internal Medicine 1622 Highwoods Blvd Unit G105, Greensboro, NC 27410 2017-10-19
1174965826 Valley Cardiology, Pa Internal Medicine 6562 Stone Mountain Farm Rd, Fayetteville, NC 28311-1183 2013-07-23
1477839108 Caldwell Memorial Hospital, Inc Internal Medicine 401 Mulberry St Sw Ste 207, Lenoir, NC 28645-5463 2011-10-26
1700184108 Richard Sean Stack Internal Medicine 1414 Raleigh Rd Ste 415, Chapel Hill, NC 27517-8834 2011-03-09
1114171634 Novant Medical Group, Inc. Internal Medicine 125 Baldwin Avenue, Suite 200, Charlotte, NC 28204-3370 2008-11-11
1043433634 Presbyterian Regional Healthcare Laboratory Services LLC Internal Medicine 1851 E 3rd St, Charlotte, NC 28204-3205 2007-04-11
1740395029 Damian Brezinski Internal Medicine 1328 Lake Park Blvd N, Ste 103, Carolina Beach, NC 28428-3906 2006-08-20
1548213481 Peter L Duffy Internal Medicine 7 Regional Cir, Pinehurst, NC 28374-9796 2006-05-19
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Competitor

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City OXFORD
Zip Code 27565

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Dataset Information

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.

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