CAROLINA NEUROSURGICAL SERVICES, P.A. (NPI# 1649376898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649376898 |
| Entity Type | Organization |
| Organization Name | CAROLINA NEUROSURGICAL SERVICES, P.A. |
| Practice Address |
3650 Cape Center Dr Suite 100 Fayetteville NC 28304-4406 |
| Practice Telephone | 9104849802 |
| Practice Fax Number | 9104842342 |
| Mailing Telephone | 9104849802 |
| Mailing Fax Number | 9104842342 |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | BRUCE JAUFMANN (PRESIDENT) |
| Authorized Official Telephone | 9104849802 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 890229H | 05 | |
| NC | BLUE CROSS BLUE SHIELD | 0229H | 01 |
| Street Address |
3650 CAPE CENTER DR SUITE 100 |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28304-4406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962460550 | Manesh Thomas | Internal Medicine | 3650 Cape Center Dr, Fayetteville, NC 28304-2139 | 2006-05-03 |
| 1104144914 | Ferncreek Cardiology Pa | Internal Medicine | 3650 Cape Center Dr, Fayetteville, NC 28304-2139 | 2010-05-05 |
| 1053587139 | Casey Devine | Specialist | 3650 Cape Center Dr, Suite201, Fayetteville, NC 28304-2139 | 2008-05-07 |
| 1336338268 | Suriya Bandara Jayawardena | Internal Medicine | 3650 Cape Center Dr, Fayetteville, NC 28304-2139 | 2007-10-16 |
| 1598985715 | Matthew Amiebi Daka | Internal Medicine | 3650 Cape Center Dr, Fayetteville, NC 28304-2139 | 2007-04-27 |
| 1750487203 | David B Gilbert | Internal Medicine | 3650 Cape Center Dr, Fayetteville, NC 28304-2139 | 2006-09-15 |
| 1235151432 | Debbie R. Wright-thomasson | Internal Medicine | 3650 Cape Center Dr, Fayetteville, NC 28304-2139 | 2006-07-24 |
| 1629093307 | Valerie J Beltrane-preston | Physical Therapist | 3650 Cape Center Dr, Suite201, Fayetteville, NC 28304-4406 | 2006-07-13 |
| 1811929920 | Selvaratnam Sinna | Internal Medicine | 3650 Cape Center Dr, Fayetteville, NC 28304-2139 | 2006-07-07 |
| 1003868001 | Jodi Dyer | Specialist | 3650 Cape Center Dr, Suite 201, Fayetteville, NC 28304-4406 | 2006-05-17 |
| Find all providers in the same location | ||||
| 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 | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235777558 | Washington Regional Medical System | Specialist | 3264 N North Hills Blvd, Fayetteville, AR 72703 | 2019-12-17 |
| 1962062240 | Shenika Twanet Judd | Specialist | 724 N Reilly Rd Ste C, Fayetteville, NC 28303-6042 | 2019-06-18 |
| 1033676358 | Suzanne Lynn Washburn | Specialist | 307 Barcelona Drive 26e, Fayetteville, NC 28303-5768 | 2019-02-22 |
| 1861965592 | Hierarchy for Wellness | Specialist | 805 S Glynn St Bldg 127 142, Fayetteville, GA 30214 | 2019-01-04 |
| 1194203075 | Dominique A Hunter | Specialist | 100 Hay St Fl 6, Fayetteville, NC 28301-5676 | 2018-08-01 |
| 1699286260 | Carla Jai Simmons | Specialist | 1300 Bragg Blvd Ste 1318, Fayetteville, NC 28301-4296 | 2017-10-23 |
| 1952825838 | Mary L Hill | Specialist | 185 Thornton Dr., Fayetteville, GA 30214 | 2017-08-01 |
| 1295288215 | Jillian Diffenbaugh | Specialist | 1019 Hay St, Fayetteville, NC 28305-5315 | 2016-07-26 |
| 1437534633 | Mark Hinton | Specialist | 131 Barnhill Arena Office, Office 116a, Fayetteville, AR 72701 | 2015-07-29 |
| 1841600830 | Trimana LLC | Specialist | 2875 E Joyce Blvd, Fayetteville, AR 72703-4524 | 2014-04-30 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28304 |
Please comment or provide details below to improve the information on CAROLINA NEUROSURGICAL SERVICES, P.A..
| 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.