FAIRVILLE OASIS, PLLC (NPI# 1538555867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538555867 |
| Entity Type | Organization |
| Organization Name | FAIRVILLE OASIS, PLLC |
| Practice Address |
600 Kensington Dr Apt 613 Jacksonville NC 28546-7157 |
| Practice Telephone | 4438522730 |
| Mailing Telephone | 4438522730 |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2015-04-14 |
| Authorized Official Name | DR. OLUWASEYE ALABI (MANAGER) |
| Authorized Official Telephone | 4438522730 |
| Authorized Official Credential | D.O |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PS0010X |
Emergency Medicine Specialization: Sports Medicine |
203620 | NC | Allopathic & Osteopathic Physicians |
| Street Address |
600 KENSINGTON DR APT 613 |
| City | JACKSONVILLE |
| State | NC |
| Zip Code | 28546-7157 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316578388 | Judylyn Hobson | Registered Nurse | Pride In North Carolina, LLC, 3886 Henderson Dr, Jacksonville, NC 28546 | 2020-01-29 |
| 1427694637 | Aaron Patrick Bettcher | Military Health Care Provider | 3rd Mrb Loop Rd, Camp Lejeune, NC 28546 | 2019-11-22 |
| 1962044289 | Levi Scott Marshall | Military Health Care Provider | Everett Creek Road, Building 612, Camp Lejeune, NC 28546 | 2019-10-09 |
| 1649826652 | Nicholas Otazo | Military Health Care Provider | 3rd Mrb 20073, Camp Lejeune, NC 28546 | 2019-08-15 |
| 1417519570 | Publix North Carolina, Lp | Durable Medical Equipment & Medical Supplies | 2001 Marlin Drive Unit 100, Jacksonville, NC 28546 | 2019-06-28 |
| 1023500212 | Josip Ninrodriguez | Military Health Care Provider | 3d Marine Raider Battaliom, Camp Lejeune, NC 28546 | 2018-06-04 |
| 1639661192 | Kenneth Lee Russell | Military Health Care Provider | 3d Marine Raider Battalion, Camp Lejeune, NC 28546 | 2018-05-31 |
| 1346730173 | Coastal Foot Center, LLC | Clinic/Center | 29 Office Park Dr Ste B, Jacksonville, NC 28546 | 2018-05-17 |
| 1578080271 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 380 Western Blvd, Jacksonville, NC 28546 | 2017-08-24 |
| 1144757493 | Darin Lee Peterson | Specialist/Technologist | G644 Camp Geiger, School of Infantry-east, Jacksonville, NC 28546 | 2017-05-17 |
| Find all providers in zip 28546 | ||||
| Taxonomy Code | 207PS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Sports Medicine |
| An emergency physician with special knowledge in sports medicine is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention and management of injury and illness. A sports medicine physician has knowledge and experience in the promotion of wellness and the role of exercise in promoting a healthy lifestyle. Knowledge of exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation and epidemiology is essential to the practice of sports 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 Emergency Medicine, 2007. http://www.abem.org/public/. American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417596297 | Dana Dowell | Emergency Medicine | 1981 Union Church Rd, Cameron, NC 28326-7957 | 2019-12-27 |
| 1194375808 | Colleen Kathryn Rogers | Emergency Medicine | 1609 Vineyard Mist Dr, Cary, NC 27519-6998 | 2019-09-14 |
| 1578088316 | Andrew Bagley | Emergency Medicine | 2500 Warren Caroll Drive, Raleigh, NC 27695-0001 | 2017-08-12 |
| 1508255936 | Stephen Digh Jr. | Emergency Medicine | 7336 Raging Ridge Rd, Harrisburg, NC 28075-7645 | 2015-01-22 |
| 1164661203 | Ronald Lynn Williams | Emergency Medicine | 6631 Ward Blvd, Wilson, NC 27893-5963 | 2009-02-12 |
| 1043460918 | Shang-hsien Yuan | Emergency Medicine | 5150 Western Ave, Morganton, NC 28655-9696 | 2008-09-26 |
| 1518932763 | Charles W Stafford | Emergency Medicine | 412 Channel Ct, Emerald Isle, NC 28593 | 2006-02-21 |
| 1225675358 | Nicole Lopez | Emergency Medicine | 501 N Main St, Louisburg, NC 27549-2399 | 2019-12-09 |
| 1124590070 | Amy Linker Kirkman | Emergency Medicine | 306 E Red Cross Rd, Oakboro, NC 28129-7202 | 2018-12-17 |
| 1497283378 | Jessica Renee Webster | Emergency Medicine | 92 Catamount Rd, Ramsey Center, Cullowhee, NC 28723 | 2017-05-23 |
| Find all providers with the same taxonomy | ||||
| City | JACKSONVILLE |
| Zip Code | 28546 |
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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.