Active NPI
Thomas Francis Trahey III, M.D.
- Cardiovascular Disease Physician
- Concord, NC
National Provider Identifier
1447256854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 30749
- Practice address
- 1028 Lee Ann Dr NE
Suite 100
Concord, NC 28025-2903 - Phone
- (704) 316-5353
- Fax
- (704) 316-5354
- NPI assigned
- Jun 22, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 30749 | NC | |
| Cardiovascular Disease Physician | 207RC0000X | 30749 | NC | Primary |
Addresses
Primary practice location
1028 Lee Ann Dr NE
Suite 100
Concord, NC 28025-2903
Mailing address
1718 E 4TH St
Suite 501
Charlotte, NC 28204-3261
Phone (704) 343-9800
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 83707 | Other | NC | BLUE CROSS BLUE SHIELD |
| 893707 | Medicaid | NC | |
| 287188 | Other | MAMSI | |
| 561845661 | Other | CHAMPUS | |
| 9454 | Other | PARTNERS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30749 | NC | MD | Cardiovascular Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262649600000",
"number": "1447256854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1718 E 4TH ST",
"address_2": "SUITE 501",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282043261",
"telephone_number": "704-343-9800",
"fax_number": "704-347-2011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1028 LEE ANN DR NE",
"address_2": "SUITE 100",
"city": "CONCORD",
"state": "NC",
"postal_code": "280252903",
"telephone_number": "704-316-5353",
"fax_number": "704-316-5354"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAHEY",
"first_name": "THOMAS",
"middle_name": "FRANCIS",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-22",
"last_updated": "2010-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NC",
"license": "30749",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NC",
"license": "30749",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "83707",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "893707",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "287188",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS",
"identifier": "561845661",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PARTNERS",
"identifier": "9454",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Concord, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.