NORTH CAROLINA VASCULAR SPECIALISTS, PA (NPI# 1811404999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811404999 |
| Entity Type | Organization |
| Organization Name | NORTH CAROLINA VASCULAR SPECIALISTS, PA |
| Practice Address |
3713 Benson Dr Ste 202 Raleigh NC 27609-7372 |
| Mailing Address |
1317 King Cross Ct Raleigh NC 27614-9026 |
| Practice Telephone | 9195322144 |
| Practice Fax Number | 9195322143 |
| Enumeration Date | 2018-01-10 |
| Last Update Date | 2018-01-10 |
| Authorized Official Name | JAMES E FOGARTIE JR. (PRESIDENT) |
| Authorized Official Telephone | 9196056092 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
9700951 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 891065X | 05 |
| Street Address |
3713 BENSON DR STE 202 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27609-7372 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407919285 | Angelo Milazzo | Internal Medicine | 3713 Benson Dr Ste 202, Raleigh, NC 27609-7372 | 2006-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184235582 | Choice Service Solutions LLC | In Home Supportive Care | 5300 Six Fox Rd Siite205, Raleigh, NC 27609 | 2020-08-11 |
| 1003426073 | Rosana Oba -rovira | Registered Nurse | 5300 Six Fox Road, Suite 205, Raleigh, NC 27609 | 2020-08-05 |
| 1821612706 | Helen Alexandra Bonner | Physical Medicine & Rehabilitation | Hey Clinic Pa, 3320 Wake Forest Road Ste 450, Raleigh, NC 27609 | 2020-06-05 |
| 1215423579 | Appiah Nana Larbi | Social Worker | Easter Seals Ucp 4000 Wake Forest Rd Ste 200, Raleigh, NC 27609 | 2018-07-10 |
| 1215423777 | Broadway Home Care LLC | In Home Supportive Care | 107 Windel Dr Ste 105, Raleigh, NC 27609 | 2018-07-09 |
| 1275027948 | Lacey Allene Cottingham | Social Worker | 312 W Millbrook Rd Ste 129, Raleigh, NC 27609 | 2018-06-18 |
| 1447748819 | Integrated Dermatology of North Raleigh, Pllc | Dermatology | 3809 Computer Dr Ste 200, Raleigh, NC 27609 | 2018-05-01 |
| 1902325418 | Naomi Christine Askew | Nurse Practitioner | 3400 Wake Forest Drive, Bldg 9, Bldg #9, 4th Floor, Raleigh, NC 27609 | 2017-09-15 |
| 1962929679 | Alexia Montague | Social Worker | 1306 Paddock Drive Suite E-100, Raleigh, NC 27609 | 2017-08-23 |
| 1730602236 | Chantel Washington-mbuthia | Counselor | 1100 Logger Ct. Ste C100, Heartfelt Alternative Inc, Raleigh, NC 27609 | 2017-07-18 |
| Find all providers in zip 27609 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104001742 | Raleigh Vein & Laser Center Pa | Surgery | 10000 Falls of Neuse Rd., Suite 303, Raleigh, NC 27614 | 2008-01-02 |
| 1588602304 | Richard David Edrington | Surgery | 3300 Executive Dr Ste 304, Raleigh, NC 27609-7492 | 2006-06-03 |
| 1033179122 | Luan Tran | Surgery | 2245 Gateway Access Pt, Suite 315, Raleigh, NC 27607-3077 | 2006-03-24 |
| 1801450283 | Wakemed Specialists Group, LLC | Surgery | 3713 Benson Dr, Raleigh, NC 27609-7371 | 2019-05-01 |
| 1144634270 | Wake Specialty Physicians, LLC | Surgery | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2014-06-17 |
| 1275876393 | Heather Waldrop | Surgery | 3300 Executive Dr Ste 304, Raleigh, NC 27609-7492 | 2013-03-27 |
| 1457621765 | Rex Physicians LLC | Surgery | 2800 Blue Ridge Rd, Suite 300, Raleigh, NC 27607-6478 | 2012-01-03 |
| 1336443712 | Rex Hospital Inc | Surgery | 4414 Lake Boone Trl, Suite 108, Raleigh, NC 27607-7513 | 2010-12-29 |
| 1053636894 | Liliana Nanez | Surgery | 4414 Lake Boone Trl, Rex Vascular Specialists, Suite 108, Raleigh, NC 27607-7513 | 2010-04-05 |
| 1376733873 | Jason K Kim | Surgery | 4414 Lake Boone Trl, Raleigh, NC 27607-7513 | 2007-07-31 |
| 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.