CAROLINA VASCULAR SPECIALISTS, PA – NPI #1750671723
Surgery

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Health Care Provider Taxonomy Code for Surgery

CAROLINA VASCULAR SPECIALISTS, PA is a surgeon located in MOORESVILLE, NC. NPPES has assigned the NPI number 1750671723 to CAROLINA VASCULAR SPECIALISTS, PA on April 12, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2086S0129X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Vascular Surgery

The NPI profile was previously updated about 15 years ago on Oct 13, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CAROLINA VASCULAR SPECIALISTS, PA below.

NPI Profile for
CAROLINA VASCULAR SPECIALISTS, PA

NPI Number
1750671723
Enumeration Date

(more than 15 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CAROLINA VASCULAR SPECIALISTS, PA
Primary location
146 MEDICAL PARK RD
SUITE 102
MOORESVILLE, NC 28117-8528
Phone: (704) 799-3939 Fax: (704) 799-8748
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
WALLACE TARRY
OWNER/PROVIDER
Phone: (704) 799-3939
Updated
Identifiers

Identifiers for CAROLINA VASCULAR SPECIALISTS, PA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDNC5917234
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2086S0129X
- Surgery / Vascular Surgery (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.