CUMBERLAND COUNTY HOSPITAL SYSTEM, INC. (NPI# 1700287869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700287869 |
| Entity Type | Organization |
| Organization Name | CUMBERLAND COUNTY HOSPITAL SYSTEM, INC. |
| Other Organization Name | CAPE FEAR VALLEY GASTROENTEROLOGY |
| Practice Address |
1638 Owen Dr Attn: Managed Care Planning Fayetteville NC 28304-3424 |
| Practice Telephone | 9106154000 |
| Practice Fax Number | 9106159761 |
| Mailing Telephone | 9106154000 |
| Mailing Fax Number | 9106159761 |
| Enumeration Date | 2014-09-09 |
| Last Update Date | 2014-09-09 |
| Authorized Official Name | MICHAEL NAGOWSKI (CEO) |
| Authorized Official Telephone | 9106154000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
H0213 | NC | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Cape Fear Valley Gastroenterology | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578996252 | Cumberland County Hospital System, Inc. | Counselor | 711 Executive Pl, 4th Floor, Fayetteville, NC 28305-5193 | 2013-08-16 |
| 1245661701 | Cumberland County Hospital System, Inc. | Internal Medicine | 6387 Ramsey Street, Suite 140, Fayetteville, NC 28311 | 2013-12-10 |
| 1386084671 | Cumberland County Hospital System, Inc. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2153 Valleygate Dr, Suite 101, Fayetteville, NC 28304-3681 | 2013-07-01 |
| 1881946242 | Cumberland County Hospital System, Inc. | Clinic/Center | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2012-10-10 |
| 1548510969 | Cumberland County Hospital System, Inc. | Specialist | 4140 Ferncreek Dr, Suite 601, Fayetteville, NC 28314-2563 | 2012-09-13 |
| 1356565543 | Cumberland County Hospital System, Inc. | Audiologist | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2007-04-12 |
| 1457575649 | Cumberland County Hospital System, Inc. | Case Manager/Care Coordinator | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2007-04-12 |
| 1992709810 | Cumberland County Hospital System, Inc. | Counselor | 3425 Melrose Rd, Fayetteville, NC 28304-1608 | 2005-06-09 |
| 1639172869 | Cumberland County Hospital System, Inc. | General Acute Care Hospital | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2005-05-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | Cumberland County Hospital System, Inc. | 1638 Owen Dr, Fayetteville, NC 28304 |
| Street Address |
1638 OWEN DR ATTN: MANAGED CARE PLANNING |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28304-3424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821091851 | Cumberland County Hospital System, Inc | General Acute Care Hospital | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2005-05-23 |
| 1265032536 | Heidi Ellen Jumbercotta | Internal Medicine | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2020-10-27 |
| 1346848306 | Jessica Hooten | Nurse Practitioner | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2020-10-13 |
| 1881200665 | Kathleen Macalalag | Pharmacist | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2020-09-17 |
| 1790395523 | Anna Caitlyn Felmer | Pharmacist | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2020-08-06 |
| 1427668359 | Benjamin Josiah Tutterow | Pharmacist | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2020-08-05 |
| 1063022994 | George Thomas Sessoms IIi | Pharmacist | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2020-08-05 |
| 1437769759 | Teresa Cooper Jones | Pharmacist | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2020-08-01 |
| 1881202901 | Chantel Davis | Specialist/Technologist, Other | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2020-07-15 |
| 1194333237 | Alyssa Worley | Occupational Therapy Assistant | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2020-07-15 |
| 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 | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114482379 | Medical Associates of Northwest Arkansas Pa | Internal Medicine | 3344 N Futrall Dr Ste B, Fayetteville, AR 72703-4057 | 2019-02-01 |
| 1376638940 | Eden Agustin Suguitan | Internal Medicine | 4361 Ferncreek Drive, Fayetteville, NC 28314 | 2006-10-03 |
| 1053315820 | John E Burney | Internal Medicine | 1265 Highway 54 W, Ste 402, Fayetteville, GA 30214-4537 | 2005-06-09 |
| 1053612069 | Kevin J O'keefe | Internal Medicine | 3344 N Futrall Dr, Fayetteville, AR 72703 | 2010-11-07 |
| 1790963759 | Joseph Bernard Henderson | Internal Medicine | 2041 Valleygate Dr, Fayetteville, NC 28304-3745 | 2008-02-01 |
| 1174707897 | John D Moore | Internal Medicine | 3344 N Futrall Dr, Fayetteville, AR 72703-4057 | 2007-12-18 |
| 1619186228 | Niraj Khandelwal | Internal Medicine | 1265 Highway 54 W, Suite 402, Fayetteville, GA 30214-4548 | 2007-05-21 |
| 1508882325 | Arvind Kumar | Internal Medicine | 2041 Valleygate Dr, Fayetteville, NC 28304-3688 | 2006-07-14 |
| 1487670287 | John Richard Jones | Internal Medicine | 2041 Valleygate Dr, Fayetteville, NC 28304-3688 | 2006-07-14 |
| 1548293855 | William F. Vorder Bruegge | Internal Medicine | 2041 Valleygate Dr, Fayetteville, NC 28304-3688 | 2006-07-09 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28304 |
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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.