NPIMap

Organization Active NPI

Carolina Cardiovascular Surgical Associates P.a.

  • Cardiovascular Disease Physician
  • Raleigh, NC
National Provider Identifier
1104809730
Registry record updated Dec 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
CAROLINA CARDIOVASCULAR SURGICAL ASSOCIATES P.A.
Practice address
3000 New Bern Ave
Ste 1100
Raleigh, NC 27610
Phone
(919) 231-6333
Fax
(919) 231-6334
NPI assigned
Nov 29, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2009

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

Authorized official

Name
Mrs. Carol H Newell, CEO
Title
Ceo
Phone
(919) 231-6333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

3000 New Bern Ave
Ste 1100
Raleigh, NC 27610

Mailing address

3000 New Bern Ave
Ste 1100
Raleigh, NC 27610
Phone (919) 231-6333

Other identifiers 2

IdentifierTypeStateIssuer
01229OtherNCBCBS
8901229MedicaidNC

National Provider Directory

National Provider Directory

Locations

3000 New Bern Ave
Ste 1100
Raleigh, NC 27610
Phone (919) 231-6333

3000 New Bern Ave
#1100
Raleigh, NC 27610
Phone (919) 231-6333

Practitioners & affiliated clinicians

Practitioners 29

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

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260921600000",
    "number": "1104809730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 NEW BERN AVE",
            "address_2": "STE 1100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27610",
            "telephone_number": "919-231-6333",
            "fax_number": "919-231-6334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 NEW BERN AVE",
            "address_2": "STE 1100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27610",
            "telephone_number": "919-231-6333",
            "fax_number": "919-231-6334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA CARDIOVASCULAR SURGICAL ASSOCIATES P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-29",
        "last_updated": "2009-12-16",
        "status": "A",
        "authorized_official_last_name": "NEWELL",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-231-6333",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01229",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8901229",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2009; 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.