OWEN DRIVE SURGICAL CLINIC OF FAYETTEVILLE PLLC (NPI# 1598841868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598841868 |
| Entity Type | Organization |
| Organization Name | OWEN DRIVE SURGICAL CLINIC OF FAYETTEVILLE PLLC |
| Practice Address |
513 Owen Dr Fayetteville NC 28304-3433 |
| Practice Telephone | 9103230101 |
| Practice Fax Number | 9104842654 |
| Mailing Telephone | 9103230101 |
| Mailing Fax Number | 9104842654 |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. BUNNY MARIE PERE (OFFICE MANAGER) |
| Authorized Official Telephone | 9103230101 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS | 017XC | 01 |
| Street Address |
513 OWEN DR |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28304-3433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023030004 | Florias Andrew Morfesis | Preventive Medicine | 513 Owen Dr, Fayetteville, NC 28304 | 2006-07-25 |
| 1811458177 | Wolinsky Primary Care, Pa | Internal Medicine | 513 Owen Dr, Fayetteville, NC 28304-3433 | 2019-03-28 |
| 1568552891 | Sidney P. Wolinsky | Family Medicine | 513 Owen Dr, Fayetteville, NC 28304-3433 | 2006-10-16 |
| 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 | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164763918 | Cynthia J Amram | Surgery | 3015 E Joyce Blvd, Fayetteville, AR 72703-4526 | 2013-03-04 |
| 1275844177 | Yana Mikhaylov | Surgery | 4140 Ferncreek Dr Ste 601, Fayetteville, NC 28314-2569 | 2010-06-24 |
| 1043541725 | Janine Nicole Pettiford | Surgery | 325 North Jeff Davis Dr, Fayetteville, GA 30214 | 2010-01-20 |
| 1548410103 | Erin M King | Surgery | 1260 Highway 54 W Ste 100, Fayetteville, GA 30214-4513 | 2008-09-19 |
| 1881851699 | Timothee J Friesen | Surgery | 1265 Highway 54 W Ste 309, Fayetteville, GA 30214-4537 | 2008-05-20 |
| 1790954352 | Obinna Chukwudi Igwilo | Surgery | 7300 S Raeford Rd Rm 2528, Fayetteville, NC 28304-6162 | 2008-02-27 |
| 1942387055 | Steven Anthony Battaglia | Surgery | 1061 Brunswick Dr, Fayetteville, OH 45118 | 2006-11-01 |
| 1225118441 | David Crump | Surgery | 108 Medical Center Blvd Ste G25, Fayetteville, TN 37334-2741 | 2006-10-16 |
| 1265544035 | Yong S Kwon | Surgery | 1695 E Rainforest Rd, Fayetteville, AR 72703-5385 | 2006-08-31 |
| 1346261989 | Rudy Theodore Cobb | Surgery | 305 College St W, Fayetteville, TN 37334-2911 | 2006-07-21 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28304 |
Please comment or provide details below to improve the information on OWEN DRIVE SURGICAL CLINIC OF FAYETTEVILLE 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.