CAROLINA HEART PHYSICIANS PLLC (NPI# 1154305704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154305704 |
| Entity Type | Organization |
| Organization Name | CAROLINA HEART PHYSICIANS PLLC |
| Practice Address |
3613 Raeford Rd Suite B Fayetteville NC 28304-2113 |
| Mailing Address |
3613 Raeford Rd Fayetteville NC 28304-2113 |
| Practice Telephone | 9104830018 |
| Practice Fax Number | 9104830991 |
| Mailing Telephone | 9104830018 |
| Mailing Fax Number | 9104830991 |
| Enumeration Date | 2005-12-06 |
| Last Update Date | 2010-08-13 |
| Authorized Official Name | AGODICHI U NWOSU (PHYSICIAN PRESIDENT) |
| Authorized Official Telephone | 9104830018 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 89128AA | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841350204 | Carolina Heart Physicians Pllc | Internal Medicine | 3613 Raeford Rd, Fayetteville, NC 28304-2113 | 2006-12-08 |
| Street Address |
3613 RAEFORD RD SUITE B |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28304-2113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841531662 | Fayetteville Medical Clinic | Non-Pharmacy Dispensing Site | 3613 Raeford Rd, Suite B, Fayetteville, NC 28304-2113 | 2013-03-04 |
| 1285873018 | Fayetteville Medical Clinic, PC | Internal Medicine | 3613 Raeford Rd, Suite C, Fayetteville, NC 28304-2113 | 2009-02-18 |
| 1770747271 | Darryl Lynn Foster | Physician Assistant | 3613 Raeford Rd, Fayetteville, NC 28304-2113 | 2008-07-14 |
| 1841350204 | Carolina Heart Physicians Pllc | Internal Medicine | 3613 Raeford Rd, Fayetteville, NC 28304-2113 | 2006-12-08 |
| 1003994625 | Noralean Williams | Internal Medicine | 3613 Raeford Rd, Suite C, Fayetteville, NC 28304-2113 | 2006-11-01 |
| 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 | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1831406677 | Hana Smith | Internal Medicine | 4101 Medical Center Dr Fl 2, Fayetteville, NY 13066-6600 | 2010-08-31 |
| 1689874166 | Ashu Dhanjal | Internal Medicine | 1695 E Rainforest Rd Ste 4, Fayetteville, AR 72703 | 2007-07-23 |
| 1902942931 | Agodichi U Nwosu | Internal Medicine | 3613b Raeford Rd, Fayetteville, NC 28304-2113 | 2007-01-29 |
| 1164591947 | Soliman A Soliman | Internal Medicine | 3211 N Northhills Blvd Ste 110, Fayetteville, AR 72703-5602 | 2006-11-07 |
| 1093759839 | Deepak K Parashara | Internal Medicine | 2460 N. Common Drive, Fayetteville, AR 72703 | 2006-06-15 |
| 1962460550 | Manesh Thomas | Internal Medicine | 3650 Cape Center Dr, Fayetteville, NC 28304-2139 | 2006-05-03 |
| 1811961683 | Martin E Bacon | Internal Medicine | 3634 Cape Center Drive, Fayetteville, NC 28304 | 2006-02-16 |
| 1720051105 | Charles West Jacocks Iv | Internal Medicine | 2300 Ramsey St Rm 304-a, Fayetteville, NC 28301-3856 | 2006-02-08 |
| 1154393080 | Brenda May-depaola | Internal Medicine | 3634 Cape Center Dr, Fayetteville, NC 28304-4406 | 2006-02-03 |
| 1619966249 | Muhammad A Paracha | Internal Medicine | 3656 Cape Center Dr, Fayetteville, NC 28304 | 2005-10-17 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28304 |
Please comment or provide details below to improve the information on CAROLINA HEART PHYSICIANS PLLC.
| 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.