Southeastern Heart & Vascular Center PA

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

SOUTHEASTERN HEART & VASCULAR CENTER PA

Practice address

3200 Northline Ave
Suite 250
Greensboro, NC 27408-7619

Phone

(336) 273-7900

Fax

(336) 273-8147

NPI assigned

Sep 20, 2006

Last updated

Jan 18, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan J Berry, MDNPI 1235237926

Title

Executive Director

Phone

(336) 273-7900

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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.

• Jonathan Jordan Berry, MD FACC

  • Cardiovascular Disease Physician
  • Greensboro, NC
  • NPI 1235237926
  Authorized official Same address or phone

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358467200000",
    "number": "1689772220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 NORTHLINE AVE",
            "address_2": "SUITE 250",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274087616",
            "telephone_number": "336-273-7900",
            "fax_number": "336-273-8147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 NORTHLINE AVE",
            "address_2": "SUITE 250",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274087619",
            "telephone_number": "336-273-7900",
            "fax_number": "336-273-8147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEASTERN HEART & VASCULAR CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2013-01-18",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "336-273-7900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC",
            "identifier": "0129F",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "790129F",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen Alan South, MD
• Kristin Seawell Southard
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• Southeastern Orthopaedic Specialists, P.a. (Murphy Wainer Orthopedic Specialists)
• Southeastern Orthopaedic Specialists, PA (Murphy Wainer Orthopedic Specialists)
• Southeastern Orthopaedic Specialists, PA (Sports Medicine & Joint Replacement of Greensboro)
• Southeastern Orthopaedic Specialists, PA (Guilford Orthopaedic & Sports Medicine Ctr)
• Southeastern Orthopaedic Specialists,PA

• Cardiovascular Disease Physician in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Cardiovascular Disease Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2013; 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.