CUMBERLAND COUNTY HOSPITAL SYSTEM INC (NPI# 1316346976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316346976 |
| Entity Type | Organization |
| Organization Name | CUMBERLAND COUNTY HOSPITAL SYSTEM INC |
| Other Organization Name | CAPE FEAR VALLEY ENT |
| Practice Address |
1565 Purdue Dr Suite 301 Fayetteville NC 28303-5536 |
| Mailing Address |
1638 Owen Dr Attn. Managed Care Planning Fayetteville NC 28304-3424 |
| Practice Telephone | 9106153060 |
| Practice Fax Number | 9106159794 |
| Mailing Telephone | 9106156949 |
| Mailing Fax Number | 9106159761 |
| Enumeration Date | 2014-08-20 |
| Last Update Date | 2014-11-05 |
| Authorized Official Name | MR. MICHAEL NAGOWSKI (CEO) |
| Authorized Official Telephone | 9106154000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | H0213 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 1316346976 | 05 |
| Other Name | Type Code |
|---|---|
| Cape Fear Valley ENT | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578007225 | Cumberland County Hospital System Inc | Urology | 805 Tilghman Dr, Suite A, Dunn, NC 28334-5887 | 2016-12-15 |
| 1417182296 | Cumberland County Hospital System Inc | Pharmacy | 101 Robeson St Ste 107, Fayetteville, NC 28301-5520 | 2009-05-21 |
| 1548755903 | Cumberland County Hospital System Inc | Urology | 1537 Owen Park Ln, Fayetteville, NC 28304-3454 | 2018-06-28 |
| 1104327709 | Cumberland County Hospital System Inc | Podiatrist | 1738 Metromedical Dr, Fayetteville, NC 28304 | 2018-02-28 |
| 1780183426 | Cumberland County Hospital System Inc | Internal Medicine | 1218 Walter Reed Rd, Fayetteville, NC 28304-4440 | 2018-02-08 |
| 1366957615 | Cumberland County Hospital System Inc | Specialist | 1841 Quiet Cv, Fayetteville, NC 28304-3985 | 2017-12-08 |
| 1245745587 | Cumberland County Hospital System Inc | Internal Medicine | 518 E H St, Erwin, NC 28339-2209 | 2017-12-08 |
| 1134634553 | Cumberland County Hospital System Inc | Optometrist | 340a Northeast Blvd, Clinton, NC 28328-2424 | 2017-12-07 |
| 1255868980 | Cumberland County Hospital System Inc | Podiatrist | 815 Wesley Pines Rd, Lumberton, NC 28358-2359 | 2017-05-12 |
| 1215463450 | Cumberland County Hospital System Inc | Internal Medicine | 1201 Walter Reed Rd, Fayetteville, NC 28304-4437 | 2017-05-09 |
| Street Address |
1565 PURDUE DR SUITE 301 |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28303-5536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174552665 | Pediatric Services of America, Inc. | Nursing Care | 1565 Purdue Dr, Ste 201-d, Fayetteville, NC 28303-5536 | 2006-06-30 |
| 1710417233 | Heather Ann Evans | Audiologist | 1565 Purdue Dr, Fayetteville, NC 28303-5536 | 2017-06-18 |
| 1205374337 | Banaz Caspers | Physician Assistant | 1565 Purdue Dr, Fayetteville, NC 28303-5536 | 2017-02-09 |
| 1427414283 | Highland Surgical Associates, Pllc | Surgery | 1565 Purdue Dr, St 201a, Fayetteville, NC 28303-5536 | 2016-01-11 |
| 1932511326 | Ferdinand Catedrilla | Physical Therapist | 1565 Purdue Dr, 101a, Fayetteville, NC 28303-5536 | 2014-05-20 |
| 1821328576 | Mary Rebecca Forgach | Physician Assistant | 1565 Purdue Dr, Suite 301, Fayetteville, NC 28303-5413 | 2009-12-31 |
| 1437209632 | Blood & Cancer Clinic, P.a. | Internal Medicine | 1565 Purdue Dr, Suite 301, Fayetteville, NC 28303-5536 | 2007-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801404496 | Matthew Pace | Physician Assistant | Bldg 5-4257 Bastogne St, Fort Bragg, NC 28303 | 2020-07-20 |
| 1952920449 | Vonetta Bethea Jackson | Social Worker | 391 Wagoner Drive, Fayetteville, NC 28303 | 2020-04-14 |
| 1932746229 | Julie Harriss | Specialist/Technologist | Bldg E 4062, Canopy Lane, Fort Bragg, NC 28303 | 2019-12-05 |
| 1235780354 | Helen Delores Johnson | Technician | 261 Pierron Dr, Fayetteville, NC 28303 | 2019-09-20 |
| 1922655075 | Andrea Margaret Hutnam | Technician | 714 Shortridge Rd, Fayetteville, NC 28303 | 2019-08-23 |
| 1225695273 | Breona Lister | Dental Hygienist | 38 17 Gruber Rd, Fort Bragg, NC 28303 | 2019-05-24 |
| 1780148957 | Brian K Cox Sr. | Occupational Therapy Assistant | 5300 Ramsey St, Fayetteville, NC 28303 | 2019-01-22 |
| 1730670902 | Michael Sadtler | Counselor | 804 Stamper Rd Ste 101, Fayetteville, NC 28303 | 2018-05-23 |
| 1104320399 | Tia Porterfield | Counselor | 2018 Fort Bragg Rd Ste 112a, Fayetteville, NC 28303 | 2018-03-21 |
| 1154835577 | Jessica Bass Bosworth | Psychologist | 3415 Youngstown Dr, Fayetteville, NC 28303 | 2017-11-21 |
| Find all providers in zip 28303 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629232418 | Tucker Martin Harris | Otolaryngology | 4000 Medical Center Dr # 117, Fayetteville, NY 13066 | 2008-07-11 |
| 1912911934 | Carlton Lee Chambers IIi | Otolaryngology | 228 E Sunbridge Dr, V A Ent Clinic, Fayetteville, AR 72703-1823 | 2006-07-27 |
| 1346206976 | Kenneth Thomas Bellian | Otolaryngology | 1839 Quiet Cove, Fayetteville, NC 28304-3857 | 2006-04-22 |
| 1417935461 | Sabina Petra Francis | Otolaryngology | 2053 Valleygate Drive, Suite 101, Fayetteville, NC 28304 | 2006-01-09 |
| 1760780688 | Lincoln Ear Nose and Throat | Otolaryngology | 108 Medical Center Blvd, Suite 175, Fayetteville, TN 37334-2741 | 2011-03-01 |
| 1790001758 | Shan Tang | Otolaryngology | 1839 Quiet Cv, Fayetteville, NC 28304-3857 | 2010-04-15 |
| 1104023951 | Elizabeth Mccurdy Hueman | Otolaryngology | 1839 Quiet Cv, Fayetteville, NC 28304-3857 | 2007-06-27 |
| 1376509778 | William James Wiggs Jr. | Otolaryngology | 1839 Quiet Cove, Fayetteville, NC 28304-3857 | 2006-04-25 |
| 1255397881 | Robert Richard Friedrichs | Otolaryngology | 2053 Valleygate Drive, Ste. 101, Fayetteville, NC 28304-3983 | 2006-04-22 |
| 1164488797 | Steven Thomas Pantelakos | Otolaryngology | 1839 Quiet Cove, Fayetteville, NC 28304-3857 | 2006-04-22 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28303 |
Please comment or provide details below to improve the information on CUMBERLAND COUNTY HOSPITAL SYSTEM INC.
| 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.