Active NPI
Carolina Healthcare Associates, Inc.
- Cardiovascular Disease Physician
- Southport, NC
National Provider Identifier
1023314499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- CAROLINA HEALTHCARE ASSOCIATES, INC.
- Practice address
- 905 N Howe St
Southport, NC 28461-3037 - Phone
- (910) 457-4368
- Fax
- (910) 332-1300
- NPI assigned
- Feb 2, 2011
- Organization subpart
- Yes
- Parent organization
- CAROLINA HEALTHCARE ASSOCIATES, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Daniel Wiens
- Title
- Senior Vice President Operations
- Phone
- (704) 355-0648
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | Primary | ||
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | |||
| Interventional Cardiology Physician | 207RI0011X | |||
| Nuclear Cardiology Physician | 207UN0901X |
Addresses
Primary practice location
905 N Howe St
Southport, NC 28461-3037
Mailing address
PO Box 602484
Charlotte, NC 28260-2484
Phone (910) 457-4368
Other names 1
- Cape Fear Heart Associates
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296604800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1366588800000",
"number": "1023314499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 602484",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282602484",
"telephone_number": "910-457-4368",
"fax_number": "910-332-1300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "905 N HOWE ST",
"city": "SOUTHPORT",
"state": "NC",
"postal_code": "284613037",
"telephone_number": "910-457-4368",
"fax_number": "910-332-1300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAROLINA HEALTHCARE ASSOCIATES, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CAROLINA HEALTHCARE ASSOCIATES, INC.",
"enumeration_date": "2011-02-02",
"last_updated": "2013-04-22",
"status": "A",
"authorized_official_last_name": "WIENS",
"authorized_official_first_name": "DANIEL",
"authorized_official_title_or_position": "SENIOR VICE PRESIDENT OPERATIONS",
"authorized_official_telephone_number": "704-355-0648"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RC0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Interventional Cardiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207UN0901X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nuclear Medicine, Nuclear Cardiology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Cape Fear Heart Associates",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Southport, NC
- Amanda Carey, PA-C
- Carillon Assisted Living of Southport
- William D Carmichael, DDS
- Carolina Comprehensive Health
- Carolina Healthcare Associates Inc
- Carolina Healthcare Products, Inc
- Carolina Manual Therapy LLC
- Carolina Strong Physical Therapy, LLC
- Sherrie Gray Cass, FNP-C
- Mesha McKinney Chadwick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.