Carolina Vascular Institute PA

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

CAROLINA VASCULAR INSTITUTE PA

Practice address

1251 Oliver St
Fayetteville, NC 28304-4450

Phone

(910) 822-6587

Fax

(910) 426-6587

NPI assigned

Jun 9, 2006

Last updated

Mar 27, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Maurice R Roulhac, MDNPI 1801837109

Title

President

Phone

(910) 822-6587

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Maurice R Roulhac, MD

  • Vascular Surgery Physician
  • Fayetteville, NC
  • NPI 1801837109
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206576000000",
    "number": "1003857319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2493",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277152493",
            "telephone_number": "919-544-6318",
            "fax_number": "919-544-6336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 OLIVER ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044450",
            "telephone_number": "910-822-6587",
            "fax_number": "910-426-6587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA VASCULAR INSTITUTE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2008-03-27",
        "status": "A",
        "authorized_official_last_name": "ROULHAC",
        "authorized_official_first_name": "MAURICE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-822-6587",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DB8445",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8973468",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolina Rheumatology & Internal Medicine, PA
• Carolina Sun Counseling Services PLLC
• Carolina Surgical Specialists, PA
• Carolina Treatment Center
• Carolina Urgent & Family Care P.a.
• Ansley Carpenter
• Ashiya Carpenter
• Carolyn Marak Carpenter, MSW, LCSW
• Catherine Carpenter
• Danielle Carpenter, LBMT

• Vascular Surgery Physician in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Vascular Surgery Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.