Carolina Heart Pa

LBN: Carolina Heart Pa
Carolina Heart Pa is an health care organization with primary practice located at 804 Johns Hopkins Dr , Greenville NC 27834-7222. The organization recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Allopathic & Osteopathic Physicians / Cardiovascular Disease is the primary health care specialty. Carolina Heart Pa can be contacted via phone (252) 757-1000, or through Wagner, Peter B via phone (252) 757-1000.

Contact Information

Primary practice address
804 Johns Hopkins Dr Greenville NC 27834-7222
Phone: (252) 757-1000
Fax: (252) 757-3045
Website:
Map and Directions
Authorized official contact:
Name: Wagner, Peter B Doctor of Osteopathy (DO)
Phone: (252) 757-1000

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X

Profile Details

NPI number 1811953995
LBN Legal business name Carolina Heart Pa
DBA Doing business as
Authorized official Wagner, Peter B Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 26th, 2006
Last updated Sep 7th, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811953995 NPPES
Other CK0208 RR MEDICARE GROUP NUMBER
MEDICAID 890176A RR MEDICARE GROUP NUMBER
Other 0176A RR MEDICARE GROUP NUMBER

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