HEALTHSOUTH MEN'S CLINIC (NPI# 1851508949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851508949 |
| Entity Type | Organization |
| Organization Name | HEALTHSOUTH MEN'S CLINIC |
| Practice Address |
3637 Cape Center Dr Fayetteville NC 28304-4457 |
| Practice Telephone | 9104834938 |
| Practice Fax Number | 9104833094 |
| Mailing Telephone | 9104834938 |
| Mailing Fax Number | 9104833094 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ROBERT L HINES (DOCTOR) |
| Authorized Official Telephone | 9104834938 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | ========= | NC | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS-DR HINES | 42514 | 01 |
| NC | 5906149 | 05 | |
| NC | 8942514 | 05 | |
| NC | AETNA DR SALCEDO | 4665208 | 01 |
| Street Address |
3637 CAPE CENTER DR |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28304-4457 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194719559 | Michael J Miller | Internal Medicine | 3637 Cape Center Dr, Fayetteville, NC 28304-4457 | 2005-08-31 |
| 1982228748 | Priscilla Anne Locklear | Nurse Practitioner | 3637 Cape Center Dr, Fayetteville, NC 28304-4457 | 2020-06-07 |
| 1306482500 | Kimalisa Locklear | Nurse Practitioner | 3637 Cape Center Dr, Fayetteville, NC 28304-4457 | 2019-11-22 |
| 1457869240 | Mitchell Shane Skinner | Physician Assistant | 3637 Cape Center Dr, Fayetteville, NC 28304-4457 | 2018-01-16 |
| 1417464777 | Matthew Mcentire | Physician Assistant | 3637 Cape Center Dr, Fayetteville, NC 28304-4457 | 2018-01-08 |
| 1295251973 | Deidre N Murphy | Nurse Practitioner | 3637 Cape Center Dr, Fayetteville, NC 28304-4457 | 2017-08-15 |
| 1124450572 | Carolina Cape Fear Medical Group, Pa | Internal Medicine | 3637 Cape Center Dr, Fayetteville, NC 28304-4457 | 2013-08-07 |
| 1801020771 | Leah Bair Hershman | Surgery | 3637 Cape Center Dr, Fayetteville, NC 28304-4457 | 2009-05-07 |
| 1356596696 | Mayur Jivrajbhai Lakhani | Internal Medicine | 3637 Cape Center Dr, Fayetteville, NC 28304-4457 | 2008-12-01 |
| 1548357908 | Paul Ziomek | Internal Medicine | 3637 Cape Center Dr, Fayetteville, NC 28304-4457 | 2006-10-06 |
| 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 |
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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.