Organization Active NPI

Wake Heart and Vascular Associates P.a.

  • Specialist
  • Cary, NC
National Provider Identifier
1083612394
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
WAKE HEART AND VASCULAR ASSOCIATES P.A.
Practice address
300 Ashville Ave
301
Cary, NC 27518-8682
Phone
(919) 851-6901
Fax
(919) 851-9354
NPI assigned
Jul 11, 2005
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Dee Darkes
Title
Administrator
Phone
(919) 420-1342

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X NC Primary

Addresses

Primary practice location

300 Ashville Ave
301
Cary, NC 27518-8682

Mailing address

300 Ashville Ave
301
Cary, NC 27518-8682
Phone (919) 851-6901

Other identifiers 1

IdentifierTypeStateIssuer
89-016J1MedicaidNC

National Provider Directory

National Provider Directory

Locations

400 Ashville Ave
Ste 320
Cary, NC 27518

555 Medical Park Pl
Ste 210
Clayton, NC 27520

6905 Knightdale Blvd
Knightdale, NC 27545
Phone (919) 217-8806

NPI Registry JSON

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1083612394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 ASHVILLE AVE",
            "address_2": "301",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275188682",
            "telephone_number": "919-851-6901",
            "fax_number": "919-851-9354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 ASHVILLE AVE",
            "address_2": "301",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275188682",
            "telephone_number": "919-851-6901",
            "fax_number": "919-851-9354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAKE HEART AND VASCULAR ASSOCIATES P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-11",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DARKES",
        "authorized_official_first_name": "DEE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "919-420-1342",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89-016J1",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.