Active NPI
Wake Heart and Vascular Associates P.a.
- Specialist
- Raleigh, NC
National Provider Identifier
1265430342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- WAKE HEART AND VASCULAR ASSOCIATES P.A.
- Practice address
- 3320 Wake Forest Rd
204
Raleigh, NC 27609-7300 - Phone
- (919) 790-5391
- Fax
- (919) 790-6823
- NPI assigned
- Jul 12, 2005
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | NC | Primary |
Addresses
Primary practice location
3320 Wake Forest Rd
204
Raleigh, NC 27609-7300
Mailing address
3320 Wake Forest Rd
204
Raleigh, NC 27609-7300
Phone (919) 790-5391
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89-016J2 | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
3320 Wake Forest Rd
Ste 204
Raleigh, NC 27609
Phone (919) 790-5391
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121126400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1265430342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3320 WAKE FOREST RD",
"address_2": "204",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276097300",
"telephone_number": "919-790-5391",
"fax_number": "919-790-6823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3320 WAKE FOREST RD",
"address_2": "204",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276097300",
"telephone_number": "919-790-5391",
"fax_number": "919-790-6823"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WAKE HEART AND VASCULAR ASSOCIATES P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-12",
"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": "89-016J2",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
- Wake Health Services Inc.
- Wake Health Services, Inc
- Wake Health Services, Inc
- Wake Health Services, Inc.
- Wake Heart and Vascular Associates P.a.
- Wake Heart and Vascular Associates P.a.
- Wake Heart and Vascular Associates P.a.
- Wake Home Care, LLC
- Wake Internal Medicine Consultants, Inc.
- Wake Lymphedema and Wellness
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.