Triangle Surgical Associates, P.a.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

TRIANGLE SURGICAL ASSOCIATES, P.A.

Practice address

115 Crescent Commons Dr
Suite 200
Cary, NC 27518-8102

Phone

(919) 851-5055

Fax

(919) 851-3065

NPI assigned

Jan 17, 2007

Organization subpart

No

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

Authorized official

Name

Victor A Medina, M.D.NPI 1932259009

Title

President

Phone

(919) 851-5055

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Interoperability endpoints

• Direct secure messaging: mariahblair@tsapa.allscriptsdirect.net
• Direct secure messaging: janetesson@tsapa.allscriptsdirect.net
• Direct secure messaging: victormedina@tsapa.allscriptsdirect.net

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Victor A. Medina, M.D.

  • Vascular Surgery Physician
  • Cary, NC
  • NPI 1932259009
  Medicare reassignment NPD Authorized official
• Mariah Whisenhunt Blair, FNP-C

  • Family Nurse Practitioner
  • Cary, NC
  • NPI 1598118150
  NPD
• Jane Alden Tesson, N.P.

  • Family Nurse Practitioner
  • Cary, NC
  • NPI 1649606963
  NPD

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486684800000",
    "number": "1003968686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 CRESCENT COMMONS DR",
            "address_2": "SUITE 200",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275188102",
            "telephone_number": "919-851-5055",
            "fax_number": "919-851-3065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 CRESCENT COMMONS DR",
            "address_2": "SUITE 200",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275188102",
            "telephone_number": "919-851-5055",
            "fax_number": "919-851-3065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIANGLE SURGICAL ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2017-02-10",
        "status": "A",
        "authorized_official_last_name": "MEDINA",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-851-5055",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "CA2892",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890199N",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC",
            "identifier": "0199N",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Triangle Physicians for Women, PA
• Triangle Physicians P.C.
• Triangle Psychological Services
• Triangle Sleep Center PLLC
• Triangle Sleep Services
• Triangle Thai Spa
• Triangle Therapy Services PLLC
• Triangle Trauma Counseling, PLLC
• Triangle Wellness & Recovery PLLC
• Triangle Wellness and Recovery Services PLLC

• Surgery Physician in Cary, NC
• Providers in Cary, NC by specialty
• Surgery Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.