NPIMap

Organization Active NPI

Wilson Cardiology Associates, PA

  • Specialist
  • Wilson, NC
National Provider Identifier
1922062777
Registry record updated Jan 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
207RC0000X Issued in NC
Legal business name
WILSON CARDIOLOGY ASSOCIATES, PA
Practice address
2605 Forest Hills Rd SW
Wilson, NC 27893-4448
Phone
(252) 243-7161
Fax
(252) 243-7242
NPI assigned
Apr 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2008

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

Authorized official

Name
Dr. Paul Perez-Navarro, MDNPI 1851341960
Title
MD/President
Phone
(252) 243-7161

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 207RC0000X NC Primary

Addresses

Primary practice location

2605 Forest Hills Rd SW
Wilson, NC 27893-4448

Mailing address

PO Box 3209
Wilson, NC 27895-3209
Phone (252) 243-7161

Other identifiers 2

IdentifierTypeStateIssuer
890130NMedicaidNC
0130NOtherNCBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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": "1145232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201046400000",
    "number": "1922062777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3209",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278953209",
            "telephone_number": "252-243-7161",
            "fax_number": "252-243-7242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 FOREST HILLS RD SW",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278934448",
            "telephone_number": "252-243-7161",
            "fax_number": "252-243-7242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSON CARDIOLOGY ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-17",
        "last_updated": "2008-01-23",
        "status": "A",
        "authorized_official_last_name": "PEREZ-NAVARRO",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "MD/PRESIDENT",
        "authorized_official_telephone_number": "252-243-7161",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NC",
            "license": "207RC0000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890130N",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0130N",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; 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.