CAROLINA VASCULAR SPECIALISTS, PA
NPI 1750671723
Surgery - Vascular Surgery in Mooresville, NC
NPI Status: Active since April 12, 2011
Contact Information
146 MEDICAL PARK RD
SUITE 102
MOORESVILLE, NC
ZIP 28117
Phone: (704) 799-3939
Fax: (704) 799-8748
- Organization
- Surgery
- Vascular Surgery
About CAROLINA VASCULAR SPECIALISTS, PA
This page provides the complete NPI Profile along with additional information for Carolina Vascular Specialists, Pa, a provider established in Mooresville, North Carolina operating as a Surgery, focusing in vascular surgery . The healthcare provider is registered in the NPI registry with number 1750671723 assigned on April 2011. The practitioner's primary taxonomy code is 2086S0129X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Wallace C Tarry M.d. (Owner/provider)
- NPI
- 1750671723
- Provider Name
- CAROLINA VASCULAR SPECIALISTS, PA
- Entity Type
- Organization
- Location Address
- 146 MEDICAL PARK RD SUITE 102 MOORESVILLE, NC 28117
- Location Phone
- (704) 799-3939
- Location Fax
- (704) 799-8748
- Mailing Address
- 146 MEDICAL PARK RD SUITE 102 MOORESVILLE, NC 28117
- Mailing Phone
- (704) 799-3939
- Mailing Fax
- (704) 799-8748
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-12-2011
- Last Update Date
- 10-13-2011
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Surgery Vascular Surgery
- Taxonomy Code
- 2086S0129X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5917234 | MEDICAID (05) | NC | |
| 2003788B | MEDICARE PIN (08) | NC |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 5 | 0 | 6 | 7 | 1 | 7 | 2 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 10 | 0 | 12 | 7 | 2 | 7 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 0 + 0 + 1 + 2 + 7 + 2 + 7 + 4 + 24 = 57 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 57 = 3 | 3 | ||||||||
The NPI number 1750671723 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 7 providers are registered at the same or nearby location.
LAKE NORMAN ANESTHESIA ASSOCIATES
Specialist
146 MEDICAL PARK RD
SUITE 108
MOORESVILLE, NC
ZIP 28117
DR. BRIAN B BLACKBURN MD
Internal Medicine
146 MEDICAL PARK RD
STE 106
MOORESVILLE, NC
ZIP 28117
DANIEL SONNTAG CRNA
Nurse Anesthetist, Certified Registered
146 MEDICAL PARK RD
SUITE 108
MOORESVILLE, NC
ZIP 28117
LAKESHORE WOMEN'S SPECIALIST, PC
Obstetrics & Gynecology
146 MEDICAL PARK RD
SUITE 206
MOORESVILLE, NC
ZIP 28117
CAROLINAS PHYSICIANS NETWORK INC
Surgery
(Vascular Surgery)
146 MEDICAL PARK RD
STE 206
MOORESVILLE, NC
ZIP 28117
WALLACE CLEMENTS TARRY MD
Surgery
(Vascular Surgery)
146 MEDICAL PARK RD
STE 206
MOORESVILLE, NC
ZIP 28117
JEAN MARY CARPENTER NP
Nurse Practitioner
146 MEDICAL PARK RD
STE 206
MOORESVILLE, NC
ZIP 28117
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750671723, enumerated as an "organization" on April 12, 2011.
The provider is located at 146 MEDICAL PARK RD SUITE 102 MOORESVILLE, NC 28117 and the phone number is (704) 799-3939.
Surgery with taxonomy code 2086S0129X and a focus in Vascular Surgery.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
