DR. VICTOR A. MEDINA (NPI# 1932259009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932259009 |
| Entity Type | Individual |
| Full Name | DR. VICTOR A. MEDINA |
| Credential | M.D. |
| Practice Address |
115 Crescent Commons Dr Suite 200 Cary NC 27518-8102 |
| Practice Telephone | 9198515055 |
| Practice Fax Number | 9198513065 |
| Mailing Telephone | 9198515055 |
| Mailing Fax Number | 9198513065 |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2010-08-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 32145 | NC | Allopathic & Osteopathic Physicians |
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
32145 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | MEDICARE RR | 020014831 | 01 |
| NC | BCBSNC | 58459 | 01 |
| NC | 8958459 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487082160 | Victor Medina | Social Worker | Urb. Monte Elena, Magnolia St. # 144, Dorado, PUERTO RICO 00646 | 2013-10-16 |
| 1376595173 | Victor Luis Medina | General Practice | Bo. Monacillos, Carr. 22 Paseo Dr Jose Celso Barbosa, San Juan, PR 00935-0001 | 2006-05-17 |
| 1710537386 | Victor Medina | Social Worker | 5121 Stockdale Hwy, Bakersfield, CA 93309-2656 | 2019-09-16 |
| 1720492572 | Victor Manuel Medina | Internal Medicine | 4305 W Medical Center Dr Ste 1, Mchenry, IL 60050-8425 | 2014-06-19 |
| 1083732283 | Victor Medina | Occupational Therapist | 4655 Ruffner St, Ste 270, San Diego, CA 92111-2275 | 2007-03-26 |
| Street Address |
115 CRESCENT COMMONS DR SUITE 200 |
| City | CARY |
| State | NC |
| Zip Code | 27518-8102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073572673 | Cheryl A. Beauman | Physician Assistant | 115 Crescent Commons Dr, Suite 200, Cary, NC 27518-8102 | 2006-03-22 |
| 1659758316 | Avance Care Pa | Non-Pharmacy Dispensing Site | 115 Crescent Commons Dr, Suite 100, Cary, NC 27518-8102 | 2015-05-01 |
| 1720403694 | Tamra Cheek | Physician Assistant | 115 Crescent Commons Dr, Suite 200, Cary, NC 27518-8102 | 2014-02-28 |
| 1093045494 | Jacobs and Van Cleeff Internal Medicine, PC | Internal Medicine | 115 Crescent Commons Dr, Suite 250, Cary, NC 27518 | 2010-01-06 |
| 1710029152 | Cary Family Healthcare, Pa | Family Medicine | 115 Crescent Commons Dr, Suite # 100, Cary, NC 27518-8102 | 2007-02-13 |
| 1003968686 | Triangle Surgical Associates, P.a. | Surgery | 115 Crescent Commons Dr, Suite 200, Cary, NC 27518-8102 | 2007-01-17 |
| 1679520969 | Susan Howard Catchings | Family Medicine | 115 Crescent Commons Dr, Suite 100, Cary, NC 27518-8102 | 2006-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932730801 | Fuller & Associates Iv, Pllc | Dentist | 3420 Ten-ten Road, Suite 310, Cary, NC 27518 | 2020-01-30 |
| 1649761602 | Uday N Reebye, Md. Dmd, Pa | Dentist | 431 Keisler Dr Ste 101, Cary, NC 27518 | 2018-05-25 |
| 1164912093 | Cary Dental Rejuvenation | Dentist | 155 Parkway Office Court, Suite 104, Cary, NC 27518 | 2018-05-16 |
| 1104337021 | Kaylah Mckinley Black | Nurse Practitioner | 530 New Waverly Pl Ste 301, Cary, NC 27518 | 2017-10-18 |
| 1013442961 | Amber Pinsky | Occupational Therapist | 5310 Woodfield Lake Road, Cary, NC 27518 | 2017-04-28 |
| 1750733564 | Maureen Lyons Reardon | Psychologist | 2500 Regency Parkway, Cary, NC 27518 | 2016-07-05 |
| 1730539651 | Anna Liakh | Dentist | 8204 Tryon Woods Dr, Cary, NC 27518 | 2016-06-21 |
| 1609236173 | Matthew John Myschisin II | Chiropractor | 4312 Farm Brook Dr, Cary, NC 27518 | 2016-02-26 |
| 1003299405 | Amanda Lee Morris | Social Worker | 531 Keisler Dr Ste 104, Cary, NC 27518 | 2015-07-02 |
| 1053791343 | Duke University Affiliated Physicians | Family Medicine | 530 Waverly Place, Suite 101, Cary, NC 27518 | 2015-06-02 |
| Find all providers in zip 27518 | ||||
| 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 |
|---|---|---|---|---|
| 1306227236 | Vascular Health Solutions Pllc | Surgery | 232 Crossroads Blvd, Cary, NC 27518-6893 | 2015-06-16 |
| 1003968686 | Triangle Surgical Associates, P.a. | Surgery | 115 Crescent Commons Dr, Suite 200, Cary, NC 27518-8102 | 2007-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831717693 | Mcleod Physician Associates II | Surgery | 690 Sunset Blvd N Ste 208, Sunset Beach, NC 28468-5332 | 2020-07-08 |
| 1053785220 | Novant Medical Group, Inc. | Surgery | 1420 Us Highway North 52, Suite B, Albermarle, NC 28001 | 2015-11-25 |
| 1962756148 | Vein Essentials, PC | Surgery | 580 Mccarthy Blvd, New Bern, NC 28562-5217 | 2012-11-09 |
| 1548544984 | Statesville Hma Medical Group, LLC | Surgery | 1703 Davie Ave, Statesville, NC 28677-3521 | 2011-10-04 |
| 1639310642 | Vcp Raleigh, LLC | Surgery | 6905 Knightdale Blvd Ste 105, Knightdale, NC 27545-6504 | 2009-03-20 |
| 1104001742 | Raleigh Vein & Laser Center Pa | Surgery | 10000 Falls of Neuse Rd., Suite 303, Raleigh, NC 27614 | 2008-01-02 |
| 1265613624 | Pinehurst Surgical Clinic Pa | Surgery | 1705b Berwick Dr, Laurinburg, NC 28352-5523 | 2007-11-14 |
| 1871791301 | Kathryn Lorann Davis | Surgery | 2001 Vail Ave Ste 320, Charlotte, NC 28207-1222 | 2007-07-05 |
| 1578656773 | Coastal Carolina Surgical Associates, P.a. | Surgery | 1411 Physicians Drive, Wilmington, NC 28401-7338 | 2006-10-02 |
| 1750499851 | Michael David Lininger | Surgery | 149 Macarthur St, Asheboro, NC 27203-5410 | 2006-08-28 |
| Find all providers with the same taxonomy | ||||
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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.