Organization Active NPI

Wake Heart and Vascular Associates P.a.

  • Specialist
  • Louisburg, NC
National Provider Identifier
1780877795
Registry record updated Jul 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
WAKE HEART AND VASCULAR ASSOCIATES P.A.
Practice address
500 Redwood LN
Louisburg, NC 27549-2678
Phone
(919) 496-3909
Fax
(919) 496-5032
NPI assigned
Aug 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2009

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

Authorized official

Name
Mrs. Dee Darkes
Title
Administrator
Phone
(919) 420-1342

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X NC Primary

Addresses

Primary practice location

500 Redwood LN
Louisburg, NC 27549-2678

Mailing address

500 Redwood LN
Louisburg, NC 27549-2678
Phone (919) 496-3909

Other identifiers 3

IdentifierTypeStateIssuer
230473OtherNCMEDICARE GROUP
02029OtherNCBCBS
7902029MedicaidNC

National Provider Directory

National Provider Directory

Locations

1031 W Williams St
Ste 105B
Apex, NC 27502
Phone (919) 387-4128

300 Ashville Ave
Ste 301
Cary, NC 27518
Phone (919) 851-6901

555 Medical Park Pl
Ste 201
Clayton, NC 27520
Phone (919) 350-4225

10000 Falls of Neuse Rd
Ste 204
Raleigh, NC 27614
Phone (919) 350-1609

4325 Lake Boone Trl
Ste 315
Raleigh, NC 27607
Phone (919) 420-1347

423 N 7th St
Smithfield, NC 27577
Phone (919) 989-7909

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247529600000",
    "number": "1780877795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 REDWOOD LN",
            "city": "LOUISBURG",
            "state": "NC",
            "postal_code": "275492678",
            "telephone_number": "919-496-3909",
            "fax_number": "919-496-5032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 REDWOOD LN",
            "city": "LOUISBURG",
            "state": "NC",
            "postal_code": "275492678",
            "telephone_number": "919-496-3909",
            "fax_number": "919-496-5032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAKE HEART AND VASCULAR ASSOCIATES P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-22",
        "last_updated": "2009-07-14",
        "status": "A",
        "authorized_official_last_name": "DARKES",
        "authorized_official_first_name": "DEE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "919-420-1342",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "230473",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "02029",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7902029",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisburg, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2009; 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.