Active NPI
Advanced Cardiovascular Services,PA
- Cardiovascular Disease Physician
- Greensboro, NC
National Provider Identifier
1487794996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 9600940
- 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, 2008
- 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. Rajmani Harwani
- Title
- Office Manager
- Phone
- (336) 273-3335
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38107 | Other | NC | BCNS INDIVIDUAL |
| 18685 | Other | NC | PARTNERS |
| 0202J | Other | NC | BCBS GROUP |
| 890202J | Medicaid | NC | |
| 242777 | Other | NC | MAMSI |
| 25-02502 | Other | NC | UNITED HEALTH CARE |
| 8938107 | Medicaid | NC | |
| 7247000-001 | Other | NC | CIGNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Cardiovascular Disease Physician
- Greensboro, NC
- NPI 1639275381
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.