Organization Active NPI

Capital Heart Assoc, P a

Doing business as Capital Heart Associates, PA

  • Cardiovascular Disease Physician
  • Raleigh, NC
National Provider Identifier
1437112661
Registry record updated Aug 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
CAPITAL HEART ASSOC, P A
Doing business as
Capital Heart Associates, PA
Practice address
4201 Lake Boone TRL
Suite 104
Raleigh, NC 27607-7512
Phone
(919) 881-0160
Fax
(919) 881-0887
NPI assigned
Apr 10, 2006
Last updated
Aug 28, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2014

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

Authorized official

Name
Mr. James George Scanlan, M.D.NPI 1962499087
Title
President/Ceo
Phone
(919) 881-0160

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

4201 Lake Boone TRL
Suite 104
Raleigh, NC 27607-7512

Mailing address

PO Box 33155
Raleigh, NC 27636-3155
Phone (919) 881-0160

Other identifiers 5

IdentifierTypeStateIssuer
1437112661OtherNPI
0190EOtherNCBLUE CROSS/BLUE SHIELD
890190EMedicaidNC
CL6139OtherRAILROAD MEDICARE
5727215OtherAETNA

Other names 1

  • Capital Heart Associates, PA Doing business as

National Provider Directory

National Provider Directory

Locations

1001 W Williams St
Ste 105B
Apex, NC 27502
Phone (919) 881-0160

10831 Forest Pines Dr
Ste 1048
Raleigh, NC 27614
Phone (919) 881-0160

4207 Lake Boone Trl
Ste 200
Raleigh, NC 27607
Phone (919) 782-3456

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409184000000",
    "number": "1437112661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33155",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276363155",
            "telephone_number": "919-881-0160",
            "fax_number": "919-881-0887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 LAKE BOONE TRL",
            "address_2": "SUITE 104",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276077512",
            "telephone_number": "919-881-0160",
            "fax_number": "919-881-0887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL HEART ASSOC, P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-10",
        "last_updated": "2014-08-28",
        "status": "A",
        "authorized_official_last_name": "SCANLAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "919-881-0160",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "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": "NPI",
            "identifier": "1437112661",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "0190E",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890190E",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CL6139",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5727215",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Capital Heart Associates, PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 28, 2014; 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.