Organization Active NPI

Advanced Cardiovascular Services,PA

  • Cardiovascular Disease Physician
  • Greensboro, NC
National Provider Identifier
1487794996
Registry record updated Jul 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
9600940 Issued in NC
Legal business name
ADVANCED CARDIOVASCULAR SERVICES,PA
Practice address
200 E Northwood St
Suite 504
Greensboro, NC 27401-1224
Phone
(336) 273-3335
Fax
(336) 273-3315
NPI assigned
Feb 7, 2007
Last updated
Jul 3, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2008

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

Authorized official

Name
Mrs. Rajmani Harwani
Title
Office Manager
Phone
(336) 273-3335

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 9600940 NC Primary

Addresses

Primary practice location

200 E Northwood St
Suite 504
Greensboro, NC 27401-1224

Mailing address

200 E Northwood St
Suite 504
Greensboro, NC 27401-1224
Phone (336) 273-3335

Other identifiers 8

IdentifierTypeStateIssuer
38107OtherNCBCNS INDIVIDUAL
18685OtherNCPARTNERS
0202JOtherNCBCBS GROUP
890202JMedicaidNC
242777OtherNCMAMSI
25-02502OtherNCUNITED HEALTH CARE
8938107MedicaidNC
7247000-001OtherNCCIGNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080911000544 NC Part B Supplier - Clinic/Group Practice 8729150651 Receives reassigned benefits from 1 practitioner
Practice locations: Greensboro, NC

National Provider Directory

National Provider Directory

Locations

104 W Northwood St
Ste E
Greensboro, NC 27401
Phone (336) 273-3335

200 E Northwood St
Ste 504
Greensboro, NC 27401
Phone (336) 273-3335

Practitioners & affiliated clinicians

Practitioners 1

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": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215043200000",
    "number": "1487794996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E NORTHWOOD ST",
            "address_2": "SUITE 504",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011224",
            "telephone_number": "336-273-3335",
            "fax_number": "336-273-3315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E NORTHWOOD ST",
            "address_2": "SUITE 504",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011224",
            "telephone_number": "336-273-3335",
            "fax_number": "336-273-3315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED CARDIOVASCULAR SERVICES,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2008-07-03",
        "status": "A",
        "authorized_official_last_name": "HARWANI",
        "authorized_official_first_name": "RAJMANI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "336-273-3335",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NC",
            "license": "9600940",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCNS INDIVIDUAL",
            "identifier": "38107",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS",
            "identifier": "18685",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "0202J",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890202J",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "242777",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "25-02502",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8938107",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7247000-001",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.