Organization Active NPI

Triangle Community Physicians, P.a.

  • Internal Medicine Physician
  • Durham, NC
National Provider Identifier
1942269451
Registry record updated Oct 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
38758 Issued in NC
Legal business name
TRIANGLE COMMUNITY PHYSICIANS, P.A.
Practice address
4309 Medical Park Dr
Suite 200
Durham, NC 27704-2388
Phone
(919) 471-4484
Fax
(919) 477-6131
NPI assigned
Mar 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2007

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

Authorized official

Name
Shelia R Capel
Title
Office Manager
Phone
(919) 479-2860

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X 38758 NC Primary

Addresses

Primary practice location

4309 Medical Park Dr
Suite 200
Durham, NC 27704-2388

Mailing address

4309 Medical Park Dr
Suite 200
Durham, NC 27704-2388
Phone (919) 471-4484

Other identifiers 2

IdentifierTypeStateIssuer
890149FMedicaidNC
0149FOtherNCBLUE CROSS

National Provider Directory

National Provider Directory

Locations

4309 Medical Park Dr
Ste 200
Durham, NC 27704
Phone (919) 471-0900

Interoperability endpoints

  • Direct secure messaging: robertpennington@tcph.allscriptsdirect.net
  • Direct secure messaging: kombizklein@tcph.allscriptsdirect.net
  • Direct secure messaging: johnkallianos@tcph.allscriptsdirect.net

Practitioners & affiliated clinicians

Practitioners 3

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": "1142985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193270400000",
    "number": "1942269451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4309 MEDICAL PARK DR",
            "address_2": "SUITE 200",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277042388",
            "telephone_number": "919-471-4484",
            "fax_number": "919-477-6131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4309 MEDICAL PARK DR",
            "address_2": "SUITE 200",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277042388",
            "telephone_number": "919-471-4484",
            "fax_number": "919-477-6131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIANGLE COMMUNITY PHYSICIANS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-22",
        "last_updated": "2007-10-25",
        "status": "A",
        "authorized_official_last_name": "CAPEL",
        "authorized_official_first_name": "SHELIA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "919-479-2860"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "38758",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890149F",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0149F",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; 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.