DR. RICHARD JOSEPH PACCA (NPI# 1619189057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619189057 |
Entity Type | Individual |
Full Name | DR. RICHARD JOSEPH PACCA |
Credential | M.D. |
Practice Address |
103 Professional Park Ste C Oxford NC 27565-2581 |
Practice Telephone | 9196908853 |
Practice Fax Number | 9196908866 |
Mailing Telephone | (919) 690-8853 |
Mailing Fax Number | 9196908866 |
Enumeration Date | 2007-05-06 |
Last Update Date | 2017-09-11 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
2010-00526 | NC | Allopathic & Osteopathic Physicians |
N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
230785 | MA | Allopathic & Osteopathic Physicians |
N | 207UN0901X |
Nuclear Medicine Specialization: Nuclear Cardiology |
230785 | MA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | NC LICENSE | 2010-00526 | 01 |
Street Address |
103 PROFESSIONAL PARK STE C |
City | OXFORD |
State | NC |
Zip Code | 27565-2581 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760586150 | Rafael E Negron-medina | Orthopaedic Surgery | 103 Professional Park Ste C, Oxford, NC 27565-2581 | 2006-09-07 |
1215281936 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 103 Professional Park Ste C, Oxford, NC 27565-2581 | 2012-11-02 |
1588952758 | Private Diagnostic Clinic, Pllc | Internal Medicine | 103 Professional Park Ste C, Oxford, NC 27565-2581 | 2011-07-21 |
1457526907 | Granville Health System | Internal Medicine | 103 Professional Park Ste C, Oxford, NC 27565-2581 | 2008-04-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497378855 | Champion Heart and Vascular Center, Oxford Pllc | Internal Medicine | 1614 Williamsboro Street, Oxford, NC 27565 | 2020-05-20 |
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 |
Find all providers in zip 27565 |
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 |
---|---|---|---|---|
1649203688 | Walter W. Woody | Internal Medicine | 100 Baptist Memorial Cir Ste 201, Oxford, MS 38655-4476 | 2006-07-09 |
1225090715 | Mark Edward Campbell | Internal Medicine | 2209 Jefferson Davis Dr, Oxford, MS 38655-5221 | 2006-04-03 |
1063754299 | Oxford Medical Leasing, LLC | Internal Medicine | 2209 Jefferson Davis Dr, Oxford, MS 38655-5221 | 2013-03-26 |
1326380551 | Oxford Heart Consultants | Internal Medicine | 2209 Jefferson Davis Dr, Oxford, MS 38655-5221 | 2013-03-26 |
1518265164 | Unc Physicians Network, LLC | Internal Medicine | 102 Professional Park, Suite #a, Oxford, NC 27565-2501 | 2011-03-07 |
1801107735 | Granville Health Inc. | Internal Medicine | 102 Professional Park, Ste C, Oxford, NC 27565-2501 | 2010-06-25 |
1508020603 | The Strong Heart Clinic, Pllc | Internal Medicine | 1300 Access Rd, Suite 400, Oxford, MS 38655-5204 | 2008-07-17 |
1457526907 | Granville Health System | Internal Medicine | 103 Professional Park Ste C, Oxford, NC 27565-2581 | 2008-04-25 |
1366614158 | Reid Hospital & Health Care Services Inc | Internal Medicine | 110 N Poplar St, Oxford, OH 45056-1204 | 2008-04-01 |
1568519957 | Oxford Cardiovascular Physicians, Pa | Internal Medicine | 551 Azalea Dr, Oxford, MS 38655-7900 | 2007-01-05 |
Find all providers in OXFORD |
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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.