Organization Active NPI

Carolina Healthcare Associates, Inc.

Doing business as Cape Fear Heart Associates

  • Cardiovascular Disease Physician
  • Hampstead, NC
National Provider Identifier
1205132677
Registry record updated Apr 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
CAROLINA HEALTHCARE ASSOCIATES, INC.
Doing business as
Cape Fear Heart Associates
Practice address
14057 US Highway 17 N
Suite 130-B
Hampstead, NC 28443-3770
Phone
(910) 270-1637
Fax
(910) 762-1873
NPI assigned
Feb 2, 2011
Last updated
Apr 22, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
CAROLINA HELATHCARE ASSOCIATES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 22, 2013

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)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X Primary
Clinical Cardiac Electrophysiology Physician 207RC0001X
Interventional Cardiology Physician 207RI0011X
Nuclear Cardiology Physician 207UN0901X

Addresses

Primary practice location

14057 US Highway 17 N
Suite 130-B
Hampstead, NC 28443-3770

Mailing address

PO Box 602484
Charlotte, NC 28260-2484
Phone (910) 270-1637

Other names 1

  • Cape Fear Heart Associates Doing business as

National Provider Directory

National Provider Directory
Part of
Morgan Internal Medicine

Locations

14057 US Highway 17
Ste 130B
Hampstead, NC 28443
Phone (910) 270-1637

NPI 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": "1205132677",
    "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": "910-270-1637",
            "fax_number": "910-762-1873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14057 US HIGHWAY 17 N",
            "address_2": "SUITE 130-B",
            "city": "HAMPSTEAD",
            "state": "NC",
            "postal_code": "284433770",
            "telephone_number": "910-270-1637",
            "fax_number": "910-762-1873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA HEALTHCARE ASSOCIATES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAROLINA HELATHCARE 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": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207UN0901X",
            "taxonomy_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 Hampstead, NC

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.

Verify at the official NPI Registry.