CAPE FEAR VALLEY HEALTH SYSTEM SPECIALTY GROUP, LLC (NPI# 1104344183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104344183 |
| Entity Type | Organization |
| Organization Name | CAPE FEAR VALLEY HEALTH SYSTEM SPECIALTY GROUP, LLC |
| Other Organization Name | QUIK CARE AT ROBESON |
| Practice Address |
588 Bailey Rd Ste K Lumberton NC 28358-2470 |
| Mailing Address |
Po Box 40908 Fayetteville NC 28309-0908 |
| Practice Telephone | 9106151888 |
| Enumeration Date | 2017-08-30 |
| Last Update Date | 2017-09-01 |
| Authorized Official Name | MICHAEL NAGOWSKI (CEO) |
| Authorized Official Telephone | 9106156700 |
| Is Organization Subpart | Y |
| Parent Organization Name | CUMBERLAND COUNTY HOSPITAL SYSTEM, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Quik Care at Robeson | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083927313 | Cape Fear Valley Health System Specialty Group, LLC | General Practice | 4545 Fayetteville Road, Raeford, NC 28376 | 2010-07-15 |
| 1841605995 | Cape Fear Valley Health System Specialty Group, LLC | Clinic/Center | 805 Tilghman Dr Ste C, Dunn, NC 28334-5883 | 2014-06-27 |
| 1609196633 | Cape Fear Valley Health System Specialty Group, LLC | Psychiatry & Neurology | 107 East Dunham Street, Elizabethtown, NC 28337 | 2010-06-01 |
| 1356665152 | Cape Fear Valley Health System Specialty Group, LLC | Family Medicine | 104 W Southern Ave, Raeford, NC 28376-3218 | 2010-03-23 |
| 1750616108 | Cape Fear Valley Health System Specialty Group, LLC | Family Medicine | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2009-10-02 |
| Street Address |
588 BAILEY RD STE K |
| City | LUMBERTON |
| State | NC |
| Zip Code | 28358-2470 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649812397 | Monarch | Community/Behavioral Health | 13128 Serenity Street, Huntersville, NC 28358 | 2019-10-15 |
| 1114577194 | Lashonda Patrice Bostic | Social Worker | 4719 Fayetteville Road, Lumberton, NC 28358 | 2019-09-12 |
| 1780232389 | Rosaline Whittington | Technician | 39 Sibley Road, Lumberton, NC 28358 | 2019-08-28 |
| 1790343168 | Emily Graham | Social Worker | 401 S. 27th Street, Lumberton, NC 28358 | 2019-05-31 |
| 1316420722 | Karen Lynn Warwick | Nurse Practitioner | 600 Farringdom St # Ab, Lumberton, NC 28358 | 2018-09-11 |
| 1982184149 | Virginia Feldick Hampton | Speech-Language Pathologist | Coastal Therapy Partners, 210 Liberty Hill Road, Lumberton, NC 28358 | 2018-08-17 |
| 1366941882 | Ashlynn Faircloth Mckeithan | Occupational Therapist | 210 Liberty Hill Road, Lumberton, NC 28358 | 2018-02-10 |
| 1992153506 | Matthew Mercer | Nurse Anesthetist, Certified Registered | 2703 Riverwood Ave, Lumberton, NC 28358 | 2016-05-25 |
| 1295100964 | Chosen Health Care Services Inc | In Home Supportive Care | 705b Wesley Pines Road, Lumberton, NC 28358 | 2015-12-07 |
| 1346626173 | Brittany Renea Chavis | Social Worker | 888 Wire Grass Road, Lumberton, NC 28358 | 2015-08-04 |
| Find all providers in zip 28358 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346780681 | Hattiesburg Clinic, Pa | Family Medicine | 202 E Main Ave, Lumberton, MS 39455-2608 | 2017-03-06 |
| 1124407150 | Carlo J Puzzo | Family Medicine | 300 West 27th St, Lumberton, NC 28358 | 2015-05-22 |
| 1598968430 | Ronald Lee Bell | Family Medicine | 75 Legend Road, Lumberton, NC 28359-1649 | 2007-06-07 |
| 1831107127 | Prospero V. Arante, Md Pa | Family Medicine | 288 Country Lane Dr, Lumberton, TX 77657-6804 | 2006-08-03 |
| 1841226495 | George O Chatyrka | Family Medicine | 1613 Route 38, Lumberton, NJ 08048-2921 | 2006-06-24 |
| 1184689382 | John D Mcallister | Family Medicine | 2601 N Elm St, Suite A, Lumberton, NC 28358-3060 | 2006-04-19 |
| 1558345991 | Horatio G Daub | Family Medicine | 1636 Route 38 & Eayrestown Road, Lumberton, NJ 08048-2939 | 2005-11-30 |
| 1003805763 | Annamarie Ibay | Family Medicine | 1636 Route 38 and Eayrestown Road, Lumberton, NJ 08048-0000 | 2005-10-17 |
| 1598766131 | Gregory H. Busch | Family Medicine | 1561 Route 38, Suite 6, Lumberton, NJ 08048-2939 | 2005-08-04 |
| 1134127681 | Shanthi G Reddy | Family Medicine | 1233 S Main St, Lumberton, TX 77657-7390 | 2005-07-08 |
| Find all providers in LUMBERTON | ||||
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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.