Provider Demographics
NPI:1366687568
Name:AMERICAN ACCESS CARE OF NC PLLC
Entity Type:Organization
Organization Name:AMERICAN ACCESS CARE OF NC PLLC
Other - Org Name:TRIANGLE INTERVENTIONAL SERVICES, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AO
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:LOEHR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:919-677-9729
Mailing Address - Street 1:PO BOX 415520
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02241-5520
Mailing Address - Country:US
Mailing Address - Phone:610-644-8900
Mailing Address - Fax:484-924-0053
Practice Address - Street 1:2501 WESTON PARKWAY
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27513-5598
Practice Address - Country:US
Practice Address - Phone:919-677-9729
Practice Address - Fax:919-677-9721
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-03
Last Update Date:2023-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional RadiologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5950735Medicaid
NC2335875Medicare PIN