ID CARE OF NC PA (NPI# 1033667761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033667761 |
| Entity Type | Organization |
| Organization Name | ID CARE OF NC PA |
| Practice Address |
1319 Avon St Fayetteville NC 28304-4423 |
| Practice Telephone | 9107296552 |
| Practice Fax Number | 9105001002 |
| Mailing Telephone | 9107296552 |
| Mailing Fax Number | 9105001002 |
| Enumeration Date | 2016-09-12 |
| Last Update Date | 2018-02-27 |
| Authorized Official Name | DR. VIPUL A SAVALIYA (PRESIDENT) |
| Authorized Official Telephone | 9105683903 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
2014-00955 | NC | Allopathic & Osteopathic Physicians |
| Street Address |
1319 AVON ST |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28304-4423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568437762 | Carlos M Lewis | Internal Medicine | 1319 Avon St, Fayetteville, NC 28304 | 2006-02-21 |
| 1528339660 | Vipul A Savaliya | Internal Medicine | 1319 Avon St, Fayetteville, NC 28304-4423 | 2012-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598301061 | Coast To Coast Bilingual Counseling | Social Worker | 910 Hope Mills Road, Fayetteville, NC 28304 | 2019-11-20 |
| 1811530561 | Frances L. Hurst | Technician | 6732 Carloway Dr, Fayetteville, NC 28304 | 2019-10-25 |
| 1538717764 | Rose Mary A O'conner | Technician | 3530 Madison Ave, Fayetteville, NC 28304 | 2019-08-30 |
| 1932756087 | Sally Frances Jones | Technician | 2053 Mango Circle, Fayetteville, NC 28304 | 2019-08-23 |
| 1326528803 | Jeneen Yvette Townsend | Counselor | 2671 Adams Lake Dr Apt F, Fayetteville, NC 28304 | 2018-08-15 |
| 1780179580 | Ma Cornelia Villavicencio Leano | Nurse Practitioner | 3081 Stone Carriage Cir Apt Z, Fayetteville, NC 28304 | 2018-06-25 |
| 1861986267 | Pediatric After Hours Care of Fayetteville | Pediatrics | 556 Sandhurst Drive, Fayetteville, NC 28304 | 2018-06-19 |
| 1700386133 | Good Night Medical of Ohio, LLC | Durable Medical Equipment & Medical Supplies | 405 Owen Dr Ste 202, Fayetteville, NC 28304 | 2018-02-12 |
| 1003321365 | Valleygate Dental Surgery Center of Fayetteville, LLC | Dentist | 2038 Litho Place, Fayetteville, NC 28304 | 2017-12-08 |
| 1871004663 | The Salt Project | Marriage & Family Therapist | 1611-b Owen Dr., Fayetteville, NC 28304 | 2017-10-19 |
| Find all providers in zip 28304 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225321599 | Sharon V Tsay | Internal Medicine | 1265 Highway 54 W Ste 500c, Fayetteville, GA 30214-4537 | 2011-05-19 |
| 1558336602 | James A Newton | Internal Medicine | 3215 N. North Hill Drive, Fayetteville, AR 72703-4424 | 2006-02-22 |
| 1568437762 | Carlos M Lewis | Internal Medicine | 1319 Avon St, Fayetteville, NC 28304 | 2006-02-21 |
| 1962494377 | Chukwuemeka Ogbonnaya Chima | Internal Medicine | 1774 Metromedical Dr, Fayetteville, NC 28304-3861 | 2005-08-22 |
| 1649775792 | Atlanta I.d. Group, P.C. | Internal Medicine | 1265 Highway 54 W Ste 500c, Fayetteville, GA 30214-4537 | 2018-03-29 |
| 1962897587 | Renaldo O'neal Neeley | Internal Medicine | 1774 Metromedical Dr, Fayetteville, NC 28304-3861 | 2015-03-31 |
| 1518283308 | Ameera Waseem Siddiqi | Internal Medicine | 1265 Highway 54 W, Suite 201, Fayetteville, GA 30214-4548 | 2010-04-19 |
| 1972825990 | Gweneth Malicia Francis | Internal Medicine | 1265 Highway 54 W, Suite 201, Fayetteville, GA 30214-4548 | 2010-02-17 |
| 1588805188 | Cid Pa | Internal Medicine | 1774 Metromedical Drive, Fayetteville, NC 28304-3861 | 2009-03-12 |
| 1548422843 | Melina Paola Diaz-cardenas | Internal Medicine | 1265 Highway 54 W, Suite 500c, Fayetteville, GA 30214-4548 | 2008-06-27 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28304 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.