Individual provider Active NPI

Paul Alfred Vignola, M.D.

  • Cardiovascular Disease Physician
  • Aventura, FL
National Provider Identifier
1750383329
Registry record updated Sep 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME31676 Issued in FL
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, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
064486200MedicaidFL
P00717543OtherFLRR 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120614000235 NC Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 8123177292 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME31676FLMDCardiovascular Disease Physician
31676FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Watauga Medical Center Inc Cardiovascular Disease CurrentSince Jun 18, 2012 Accepting new patients
Watauga Medical Center Inc CurrentSince Jun 18, 2012 Accepting new patients
Watauga Medical Center Inc Cardiovascular Disease CurrentSince Jun 18, 2012 Accepting new patients
Charles a. Cannon, Jr. Memorial Hospital, Inc Current Accepting new patients
Charles a Cannon Jr Memorial Hospital Inc CurrentSince Aug 15, 2016 Accepting new patients
Charles a. Cannon, Jr. Memorial Hospital, Inc. Cardiovascular Disease CurrentSince Aug 15, 2016 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.

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

Verify at the official NPI Registry.