WAKE HEART AND VASCULAR ASSOCIATES P.A. (NPI# 1831197144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831197144 |
| Entity Type | Organization |
| Organization Name | WAKE HEART AND VASCULAR ASSOCIATES P.A. |
| Practice Address |
4325 Lake Boone Trl 315 Raleigh NC 27607-7509 |
| Practice Telephone | 9194201347 |
| Practice Fax Number | 9197873145 |
| Mailing Telephone | 9194201347 |
| Mailing Fax Number | 9197873145 |
| Enumeration Date | 2005-07-11 |
| 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 | ========= | NC | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 89-016JO | 05 |
| 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 |
| 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 |
| 1437157518 | Wake Heart and Vascular Associates P.a. | Specialist | 910 Berkshire Rd, Smithfield, NC 27577-4751 | 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 |
4325 LAKE BOONE TRL 315 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27607-7509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578809489 | Rex Hospital Inc | Urology | 4325 Lake Boone Trl, Raleigh, NC 27607-7509 | 2012-12-20 |
| 1043537236 | Interim Healthcare of The Triangle, LLC | Home Infusion | 4325 Lake Boone Trl, Suite 102, Raleigh, NC 27607-7509 | 2010-04-27 |
| 1053585570 | Jane Arey | Pharmacist | 4325 Lake Boone Trl, Raleigh, NC 27607-7509 | 2008-04-16 |
| 1114128063 | H.e. Douglas, Jr., Dds, Pa | Dentist | 4325 Lake Boone Trl, Suite 214, Raleigh, NC 27607-7509 | 2007-05-29 |
| 1497871339 | Interim Healthcare of The Triangle, LLC | Registered Nurse | 4325 Lake Boone Trl, Suite 102, Raleigh, NC 27607-7509 | 2007-03-22 |
| 1659405900 | Interim Healthcare of The Triangle, LLC | Registered Nurse | 4325 Lake Boone Trl, Suite 102, Raleigh, NC 27607-7509 | 2007-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972093144 | Kyndra Lawson | Behavior Technician | 5121 Kingdom Way, Suite 100, Raleigh, NC 27607 | 2018-05-14 |
| 1578082905 | Margaret Roberts Bova | Dietitian, Registered | 4207 Lake Boone Trail, Suite 210, Raleigh, NC 27607 | 2017-09-18 |
| 1184141897 | Chricat Garrard | Nurse Practitioner | 4207 Lake Boone Trl Ste 200, Raleigh, NC 27607 | 2017-08-23 |
| 1487178620 | John Patrick Morton | Pharmacist | 2411 Landmark Dr, Raleigh, NC 27607 | 2017-07-31 |
| 1023538857 | Heather Margaret Mazzola | Audiologist | 7800 Lake Boone Trail, 100, Raleigh, NC 27607 | 2017-06-22 |
| 1790216984 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2411 Landmark Drive, Raleigh, NC 27607 | 2017-03-21 |
| 1558819516 | Corilin Nocito Meggitt | Nurse Practitioner | 4505 Fair Meadows Ln Ste 102, Raleigh, NC 27607 | 2016-09-19 |
| 1942757034 | Stacie Walker | Obstetrics & Gynecology | 4414 Lake Boone Trl Ste 311, Raleigh, NC 27607 | 2016-09-06 |
| 1831644533 | Alisa Smajlagic Howe | Nurse Practitioner | 4210 Lake Boone Trail, Rex Rehab & Nursing Center, Raleigh, NC 27607 | 2016-08-23 |
| 1235598632 | Yoseph Saleh | Dentist | 107 Minden Ln, Raleigh, NC 27607 | 2016-02-15 |
| Find all providers in zip 27607 | ||||
| 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 |
|---|---|---|---|---|
| 1417590290 | Sarah Lyn Granahan | Specialist | 107 Windel Dr Ste 205, Raleigh, NC 27609-4471 | 2019-10-23 |
| 1629540323 | Sieara Kearney | Specialist | 5503 Metedeconk Ln, Raleigh, NC 27604-5404 | 2018-12-19 |
| 1821480872 | Sharon Hahn | Specialist | 6728 Eastbrook Dr, Raleigh, NC 27615-7309 | 2015-02-27 |
| 1184030611 | Life Without Limits Coaching and Counseling Pllc | Specialist | 841 Oxen Cir, Raleigh, NC 27603-9165 | 2014-07-04 |
| 1083029383 | Village Hands Foundation | Specialist | 5808 Departure Dr Ste 101, Raleigh, NC 27616-1934 | 2014-06-25 |
| 1346584620 | Danielle Blackwell | Specialist | 723 Saint Marys St, Raleigh, NC 27605-1424 | 2012-11-27 |
| 1053686113 | Duraleigh Gynecology Pa | Specialist | 2800 Blue Ridge Rd Ste 210, Raleigh, NC 27607-6477 | 2012-03-21 |
| 1578831541 | Christopher Mcclain | Specialist | 1630 Claiborne Ct, Raleigh, NC 27606-4603 | 2011-12-06 |
| 1720366610 | Bonny Reid | Specialist | 3122 Tanager St, Raleigh, NC 27606-3641 | 2011-07-27 |
| 1619276318 | Wakehealth Medical Group, Pa. | Specialist | 13200 New Falls of Neuse Rd, Ste 113, Raleigh, NC 27614-8239 | 2011-03-21 |
| Find all providers in RALEIGH | ||||
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.