CLIFFORD EDWARD FAULL (NPI# 1407859044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407859044 |
| Entity Type | Individual |
| Full Name | CLIFFORD EDWARD FAULL |
| Credential | MD |
| Practice Address |
80 Healthcare Dr Ste 203 Sylva NC 28779-5146 |
| Practice Telephone | 8285865531 |
| Practice Fax Number | 8285865759 |
| Mailing Telephone | 8285865531 |
| Mailing Fax Number | 8285865759 |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2008-06-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 20269 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8931408 | 05 |
| Street Address |
80 HEALTHCARE DR STE 203 |
| City | SYLVA |
| State | NC |
| Zip Code | 28779-5146 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912900523 | Lawrence Francis Supik | Orthopaedic Surgery | 80 Healthcare Dr, Ste 203, Sylva, NC 28779-5146 | 2005-05-27 |
| 1659758779 | Thomas Tisdale | Specialist/Technologist | 80 Healthcare Dr, Sylva, NC 28779-5126 | 2015-04-27 |
| 1861745499 | Alexis Marie Willey | Physician Assistant | 80 Healthcare Dr, Suite 203, Sylva, NC 28779-5126 | 2012-10-19 |
| 1326376724 | Mission Medical Associates Inc | Internal Medicine | 80 Healthcare Dr, Suite 201, Sylva, NC 28779-5126 | 2009-11-23 |
| 1902062813 | Harris Regional Hospital Dba Sylva Orthopaedic Associates | Orthopaedic Surgery | 80 Healthcare Dr, Suite 203, Sylva, NC 28779-5126 | 2008-07-30 |
| 1982896148 | Laura Fornos Verde | Internal Medicine | 80 Healthcare Dr, Ste 201, Sylva, NC 28779-5126 | 2007-08-13 |
| 1346461183 | Ryan M Slechta | Orthopaedic Surgery | 80 Healthcare Dr, Suite 203, Sylva, NC 28779-5126 | 2007-05-01 |
| 1821217167 | Douglas Hart Gates | Orthopaedic Surgery | 80 Healthcare Dr, Suite 203, Sylva, NC 28779-5126 | 2007-04-25 |
| 1952307993 | Amos Earl Haddock | Internal Medicine | 80 Healthcare Dr, Ste 201, Sylva, NC 28779-5126 | 2005-06-23 |
| 1053313262 | Sylva Orthopaedic Associates, Pa | Durable Medical Equipment & Medical Supplies | 80 Healthcare Dr, Ste 203, Sylva, NC 28779-5146 | 2005-06-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578109286 | Kristie Gail Smith | Nurse Practitioner | 98 Cope Creek Rd A-b, Sylva, NC 28779 | 2019-11-18 |
| 1538702667 | Charlie C Lytle | Speech-Language Pathologist | 185 Brick Farm Rd, Sylva, NC 28779 | 2019-10-22 |
| 1174040869 | Meridian Behavioral Health Services, Inc | Community/Behavioral Health | 516 Parris Branch Rd, Sylva, NC 28779 | 2017-08-24 |
| 1235562133 | Michelle Cooper Cagle | Social Worker | 587 Cope Creek Rd, Sylva, NC 28779 | 2013-08-14 |
| 1336459049 | Sara Ellen Curry | Social Worker | 98 D Cope Creek Road, Sylva, NC 28779 | 2010-10-15 |
| 1902137128 | Skyland House, LLC | Assisted Living Facility | 185 Brickfarm Road, Dillsboro, NC 28779 | 2010-01-28 |
| 1538349931 | Family Preservation Services of North Carolina, Inc. | Psychiatry & Neurology | 206 Marsh Lily Drive, Sylva, NC 28779 | 2007-11-14 |
| 1871783175 | Lauren Jenelle March | Psychologist | 70 Westcare Dr, Sylva, Sylva, NC 28779 | 2007-08-01 |
| 1285836205 | Peter C Buck | Counselor | 132 Ramblewood Dr., Sylva, NC 28779 | 2007-06-01 |
| 1508088873 | Pathways for The Future | Home Health | 525 Mineral Springs Drive, Sylva, NC 28779 | 2007-05-03 |
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| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| 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 Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912900523 | Lawrence Francis Supik | Orthopaedic Surgery | 80 Healthcare Dr, Ste 203, Sylva, NC 28779-5146 | 2005-05-27 |
| 1346461183 | Ryan M Slechta | Orthopaedic Surgery | 80 Healthcare Dr, Suite 203, Sylva, NC 28779-5126 | 2007-05-01 |
| 1821217167 | Douglas Hart Gates | Orthopaedic Surgery | 80 Healthcare Dr, Suite 203, Sylva, NC 28779-5126 | 2007-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366042244 | University of North Carolina At Chapel Hill | Orthopaedic Surgery | 6715 Mccrimmon Pkwy Ste 205a, Cary, NC 27519-1916 | 2020-10-29 |
| 1568075422 | Carolinas Physicians Network Inc | Orthopaedic Surgery | 10660 Park Rd Ste 3100, Charlotte, NC 28210-8420 | 2020-08-28 |
| 1902429863 | Carolinas Physicians Network Inc | Orthopaedic Surgery | 2700 Providence Rd S Ste 225, Waxhaw, NC 28173-6314 | 2020-05-26 |
| 1932750304 | Orthocarolina, Pa - Bundle Payment Program Section 3 | Orthopaedic Surgery | 4601 Park Rd Ste 300, Charlotte, NC 28209-2290 | 2019-09-26 |
| 1376108522 | Wakemed Specialists Group, LLC | Orthopaedic Surgery | 8001 T W Alexander Dr Ste 224, Raleigh, NC 27617-4884 | 2019-05-03 |
| 1710444294 | Novant Medical Group, Inc | Orthopaedic Surgery | 167 Moore Rd Ste 202, King, NC 27021-8770 | 2019-02-21 |
| 1649737156 | Mcpc-15, LLC | Orthopaedic Surgery | 2919 Beechtree Dr Ste 3100, Sanford, NC 27330-6934 | 2019-02-21 |
| 1528543295 | Private Diagnostic Clinic Pllc | Orthopaedic Surgery | 1545 Orchard Villas Ave, Apex, NC 27502-4321 | 2018-09-28 |
| 1346722865 | Wake Specialty Physicians, LLC | Orthopaedic Surgery | 120 Healthplex Way Ste 206, Apex, NC 27502-8403 | 2018-08-31 |
| 1760987911 | Unc Rockingham Health Care, Inc. | Orthopaedic Surgery | 520 S Van Buren Rd Ste 2, Eden, NC 27288-5079 | 2018-03-29 |
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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.