Active NPI
Paul Alfred Vignola, M.D.
- Cardiovascular Disease Physician
- Aventura, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- ME31676
- Practice address
- 21097 NE 27TH CT
Suite 350
Aventura, FL 33180-1204 - Phone
- (786) 428-1059
- Fax
- (786) 428-1062
- NPI assigned
- Aug 12, 2005
- Last updated
- Sep 26, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | ME31676 | FL | Primary |
Addresses
Primary practice location
21097 NE 27TH CT
Suite 350
Aventura, FL 33180-1204
Mailing address
175 Mary St
Boone, NC 28607-5025
Phone (828) 264-9664
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 064486200 | Medicaid | FL | |
| P00717543 | Other | FL | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME31676 | FL | MD | Cardiovascular Disease Physician |
| 31676 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Watauga Medical Center Inc | Cardiovascular Disease | Current | Accepting new patients |
| Watauga Medical Center Inc | Current | Accepting new patients | |
| Watauga Medical Center Inc | Cardiovascular Disease | Current | Accepting new patients |
| Charles a. Cannon, Jr. Memorial Hospital, Inc | Current | Accepting new patients | |
| Charles a Cannon Jr Memorial Hospital Inc | Current | Accepting new patients | |
| Charles a. Cannon, Jr. Memorial Hospital, Inc. | Cardiovascular Disease | Current | Accepting new patients |
| Watauga Medical Center, Inc. | Current | Accepting new patients | |
| Charles a. Cannon, Jr. Memorial Hospital, Inc. | Current | Accepting new patients | |
| Lawnwood Cardiovascular Surgery LLC | Past | Accepting new patients | |
| Thoracic & Cardiovascular Surgeons LLC | Past | Accepting new patients |
Locations
155 Furman Rd
Ste 101
Boone, NC 28607
Phone (828) 262-4111
175 Mary St
Boone, NC 28607
Phone (828) 264-9664
336 Deerfield Rd
Boone, NC 28607
Phone (828) 263-1211
338 Deerfield Rd
Boone, NC 28607
Phone (828) 263-1211
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Cannon Inpatient Physician Group
- Hospitalist Physician
- Linville, NC
- NPI 1821403957
-
dba Watauga Medical Center
- General Acute Care Hospital
- Boone, NC
- NPI 1205859766
Cardiovascular Disease
-
dba Watauga Medical Center
- Hospitalist Physician
- Boone, NC
- NPI 1528134194
-
dba Cannon Inpatient Behavioral Health
- Psychiatric Hospital Unit
- Linville, NC
- NPI 1407006968
-
- Certified Registered Nurse Anesthetist
- Linville, NC
- NPI 1346302783
-
- Cardiovascular Disease Physician
- Linville, NC
- NPI 1477006385
-
dba Watauga Medical Center ekg int
- Cardiovascular Disease Physician
- Boone, NC
- NPI 1336215821
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Fort Pierce, FL
- NPI 1386724169
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Atlantis, FL
- NPI 1649212416
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380153600000",
"number": "1750383329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 MARY ST",
"city": "BOONE",
"state": "NC",
"postal_code": "286075025",
"telephone_number": "828-264-9664",
"fax_number": "786-428-1062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21097 NE 27TH CT",
"address_2": "SUITE 350",
"city": "AVENTURA",
"state": "FL",
"postal_code": "331801204",
"telephone_number": "786-428-1059",
"fax_number": "786-428-1062"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIGNOLA",
"first_name": "PAUL",
"middle_name": "ALFRED",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-12",
"last_updated": "2013-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "FL",
"license": "ME31676",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "064486200",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00717543",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Aventura, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.