NPIMap

Organization Active NPI

Wakemed Faculty Practice Plan

Doing business as WakeMed Faculty Physicians - Raleigh Cardiology

  • Cardiovascular Disease Physician
  • Raleigh, NC
National Provider Identifier
1598071524
Registry record updated Aug 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
WAKEMED FACULTY PRACTICE PLAN
Doing business as
WakeMed Faculty Physicians - Raleigh Cardiology
Practice address
3000 New Bern Ave
Suite 1200
Raleigh, NC 27610-1245
Phone
(919) 231-6132
Fax
(919) 231-6276
NPI assigned
Aug 27, 2010
Last updated
Aug 31, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
WAKEMED FACULTY PRACTICE PLANAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 31, 2010

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

Authorized official

Name
Dr. Susan Tucker Weaver, M.D.NPI 1649324914
Title
Senior Vice President
Phone
(919) 350-8228

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 Physician 207RC0000X Primary

Addresses

Primary practice location

3000 New Bern Ave
Suite 1200
Raleigh, NC 27610-1245

Mailing address

3000 New Bern Ave
Suite 1200
Raleigh, NC 27610-1245
Phone (919) 231-6132

Other names 1

  • WakeMed Faculty Physicians - Raleigh Cardiology Doing business as

National Provider Directory

National Provider Directory
Part of
Carelona Medical Associ

Locations

3000 New Bern Ave
Ste 1200
Raleigh, NC 27610
Phone (919) 231-6132

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1282867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283212800000",
    "number": "1598071524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 NEW BERN AVE",
            "address_2": "SUITE 1200",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101245",
            "telephone_number": "919-231-6132",
            "fax_number": "919-231-6276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 NEW BERN AVE",
            "address_2": "SUITE 1200",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101245",
            "telephone_number": "919-231-6132",
            "fax_number": "919-231-6276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAKEMED FACULTY PRACTICE PLAN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WAKEMED FACULTY PRACTICE PLAN",
        "enumeration_date": "2010-08-27",
        "last_updated": "2010-08-31",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "TUCKER",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "919-350-8228",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WakeMed Faculty Physicians - Raleigh Cardiology",
            "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 31, 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.

Verify at the official NPI Registry.