NPIMap

Individual provider Active NPI

Touber Vang, M.D.

  • Family Medicine Physician
  • Troy, NC
National Provider Identifier
1831181239
Registry record updated Apr 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
200201193 Issued in NC
Practice address
1038 Albemarle Rd
Troy, NC 27371-8685
Phone
(910) 572-1785
Fax
(910) 572-2723
NPI assigned
Aug 22, 2005
Last updated
Apr 2, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 200201193 NC Primary

Addresses

Primary practice location

1038 Albemarle Rd
Troy, NC 27371-8685

Mailing address

PO Box 726
Troy, NC 27371-0726
Phone (910) 572-1785

Other identifiers 2

IdentifierTypeStateIssuer
P00246988OtherNCRAILROAD MEDICARE
5900721MedicaidNC

Other names 1

  • Dr. Touber Vang Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041026000521 NC Practitioner - Family Practice 6901867514 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wayne State University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid Carolina Family Medicine, P.a.Group PAC ID 5395775787, 2 clinicians

Practice addresses (Care Compare)

1038 Albemarle Rd
Troy, NC 27371-8684
Phone (910) 572-1785

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200201193NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mid Carolina Family Medicine, P.a. Family Medicine CurrentSince Feb 17, 2005 Accepting new patients
Raleigh Durham Medical Group PA Family Medicine Past Accepting new patients

Locations

1038 Albemarle Rd
Troy, NC 27371
Phone (910) 417-4105

Interoperability endpoints

  • Direct secure messaging: toubervang@midcarolin.allscriptsdirect.net

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Mid Carolina Family Medicine, P.a.Troy, NC, CCN 348951 Rural health clinic 5% Or Greater Direct Ownership Interest (50%) Feb 17, 2005

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207094400000",
    "number": "1831181239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 726",
            "city": "TROY",
            "state": "NC",
            "postal_code": "273710726",
            "telephone_number": "910-572-1785",
            "fax_number": "910-572-2723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1038 ALBEMARLE RD",
            "city": "TROY",
            "state": "NC",
            "postal_code": "273718685",
            "telephone_number": "910-572-1785",
            "fax_number": "910-572-2723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANG",
        "first_name": "TOUBER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-22",
        "last_updated": "2008-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "200201193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00246988",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5900721",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TOUBER",
            "last_name": "VANG",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Troy, NC

Sources for this page

Verify at the official NPI Registry.