WAKE HEART AND VASCULAR ASSOCIATES P.A. (NPI# 1437157518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437157518 |
| Entity Type | Organization |
| Organization Name | WAKE HEART AND VASCULAR ASSOCIATES P.A. |
| Other Organization Name | SMITHFIELD HEART AND VASCULAR ASSOCIATES |
| Practice Address |
910 Berkshire Rd Smithfield NC 27577-4751 |
| Practice Telephone | 9199897909 |
| Practice Fax Number | 9199893147 |
| Mailing Telephone | 9199897909 |
| Mailing Fax Number | 9199893147 |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2010-01-08 |
| 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 | ========= | NC | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 89-016JW | 05 |
| Other Name | Type Code |
|---|---|
| Smithfield Heart and Vascular Associates | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891012324 | Wake Heart and Vascular Associates P.a. | Specialist | 1966 S Main St, Wake Forest, NC 27587-9336 | 2010-04-23 |
| 1235111527 | Wake Heart and Vascular Associates P.a. | Specialist | 700 Tilghman Dr, 728, Dunn, NC 28334-5519 | 2005-11-14 |
| 1306827738 | Wake Heart and Vascular Associates P.a. | Specialist | 603 Beaman St, Clinton, NC 28328-2650 | 2005-11-11 |
| 1831197144 | Wake Heart and Vascular Associates P.a. | Specialist | 4325 Lake Boone Trl, 315, Raleigh, NC 27607-7509 | 2005-07-11 |
| 1780877795 | Wake Heart and Vascular Associates P.a. | Specialist | 500 Redwood Ln, Louisburg, NC 27549-2678 | 2007-08-22 |
| 1194761452 | Wake Heart and Vascular Associates P.a. | Specialist | 10000 Falls of Neuse Rd, Suite 204, Raleigh, NC 27614-7838 | 2006-06-22 |
| 1326020611 | Wake Heart and Vascular Associates P.a. | Specialist | 1031 W Williams St, 105-b, Apex, NC 27502-3955 | 2005-11-14 |
| 1184622334 | Wake Heart and Vascular Associates P.a. | Specialist | 2076 Nc Highway 42 W, 100, Clayton, NC 27520-9226 | 2005-07-12 |
| 1265430342 | Wake Heart and Vascular Associates P.a. | Specialist | 3320 Wake Forest Rd, 204, Raleigh, NC 27609-7300 | 2005-07-12 |
| 1871591172 | Wake Heart and Vascular Associates P.a. | Specialist | 3000 New Bern Ave, G-100, Raleigh, NC 27610-1231 | 2005-07-11 |
| Street Address |
910 BERKSHIRE RD |
| City | SMITHFIELD |
| State | NC |
| Zip Code | 27577-4751 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780682484 | Eric Michael Janis | Internal Medicine | 910 Berkshire Rd, Smithfield, NC 27577-4751 | 2005-07-07 |
| 1922364025 | Laura D Quick | Nurse Practitioner | 910 Berkshire Rd, Smithfield, NC 27577-4751 | 2012-04-03 |
| 1134424062 | Rex Physicians LLC | Specialist | 910 Berkshire Rd, Smithfield, NC 27577-4751 | 2011-01-25 |
| 1851553440 | Mandy White Klingenberg | Pharmacist | 910 Berkshire Rd, Smithfield, NC 27577-4751 | 2008-06-26 |
| 1760513642 | Nyla Elizabeth Thompson | Physician Assistant | 910 Berkshire Rd, Smithfield, NC 27577-4751 | 2007-03-09 |
| 1053389668 | Mateen Akhtar | Internal Medicine | 910 Berkshire Rd, Smithfield, NC 27577-4751 | 2006-03-09 |
| 1336121110 | Diane Elizabeth Morris | Nurse Practitioner | 910 Berkshire Rd, Smithfield, NC 27577-4751 | 2005-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851919047 | Sherwin Cuaresma Bernardino | Physical Therapist | Meadowview Assisted Living Center, 250 Nc-210, Smithfield, NC 27577 | 2020-07-14 |
| 1386297299 | Johnston Opco, LLC | Non-emergency Medical Transport (VAN) | 200 Kellie Dr, Smithfield, NC 27577 | 2019-07-19 |
| 1790255362 | Adrian Brook Taylor | Physical Therapist | 540 North Street, Smithfield, NC 27577 | 2018-11-27 |
| 1497260608 | Providence Healthcare of The Carolinas | Assisted Living Facility | 4302 Hwy Nc 210, Smithfield, NC 27577 | 2017-12-11 |
| 1720593908 | Latorya Delois Moore | Nurse Practitioner | 514 N Brightleaf Blvd Ste 1100, Smithfield, NC 27577 | 2017-12-09 |
| 1124546171 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 104 N Brightleaf Blvd, Smithfield, NC 27577 | 2017-08-30 |
| 1316482201 | Providence Pain, Spine & Recovery, Pllc | Anesthesiology | 7 Berkshire Rd, Smithfield, NC 27577 | 2016-12-30 |
| 1407203318 | Linda Pearl Trujillo | Early Intervention Provider Agency | 623 Tralee Dr, Smithfield, NC 27577 | 2016-05-20 |
| 1336500206 | Saundra Casey | Counselor | 15 Noble Street, Smithfield, NC 27577 | 2016-03-18 |
| 1639537707 | Ralph Edwin Wilson Jr. | Physician Assistant | 100 Kellie Drive, Smithfield, NC 27577 | 2016-02-04 |
| Find all providers in zip 27577 | ||||
| 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 |
|---|---|---|---|---|
| 1720256282 | Woodrow Batten Md Pa | Specialist | 720 Sunset Dr, Smithfield, NC 27577-3848 | 2008-02-18 |
| 1427005511 | House Call Physical Therapy, LLC | Specialist | 140 N Main St, Box 123, Smithfield, UT 84335-1908 | 2006-05-27 |
| 1134424062 | Rex Physicians LLC | Specialist | 910 Berkshire Rd, Smithfield, NC 27577-4751 | 2011-01-25 |
| 1710008826 | Smithfield Pulmonology | Specialist | 706 Wilkins St Ste A, Smithfield, NC 27577-4662 | 2007-04-03 |
| 1437250131 | Efrain Perez | Specialist | 520 North St, Smithfield, NC 27577-4016 | 2006-09-26 |
| 1528169307 | Siamak Marzbani | Specialist | 520 North St, Smithfield, NC 27577-4016 | 2006-09-26 |
| 1932139276 | Anesthesia Care, Pllc | Specialist | 509 N Brightleaf Blvd, Smithfield, NC 27577-4407 | 2006-07-03 |
| 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 | SMITHFIELD |
| Zip Code | 27577 |
Please comment or provide details below to improve the information on WAKE HEART AND VASCULAR ASSOCIATES P.A..
| 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.