CAPE FEAR FAMILY MEDICAL CARE (NPI# 1972803617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972803617 |
Entity Type | Organization |
Organization Name | CAPE FEAR FAMILY MEDICAL CARE |
Practice Address |
405 Owen Dr Fayetteville NC 28304-3411 |
Practice Telephone | 9103233183 |
Mailing Telephone | 9103233183 |
Enumeration Date | 2010-10-28 |
Last Update Date | 2010-10-28 |
Authorized Official Name | BEVERLY A DE PONCEAU (OFFICE MANAGER) |
Authorized Official Telephone | 9103233183 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | 5004935 | NC | Other Service Providers |
Street Address |
405 OWEN DR |
City | FAYETTEVILLE |
State | NC |
Zip Code | 28304-3411 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679576003 | Katherine Jane Griesser | Physical Therapist | 405 Owen Dr, Fayetteville, NC 28304-3411 | 2005-05-31 |
1659988111 | Kristina Erika Metz | Physician Assistant | 405 Owen Dr, Fayetteville, NC 28304-3411 | 2020-09-29 |
1003445636 | Mackenzie Jean Eikamp | Physician Assistant | 405 Owen Dr, Fayetteville, NC 28304-3411 | 2020-04-06 |
1437613361 | Georgina Ishak | Physician Assistant | 405 Owen Dr, Fayetteville, NC 28304-3411 | 2019-01-24 |
1447739149 | Rdmg Associates, Pa | Internal Medicine | 405 Owen Dr, Fayetteville, NC 28304-3411 | 2018-08-13 |
1235623554 | Jeffrey Thomas Riorden | Nurse Practitioner | 405 Owen Dr, Fayetteville, NC 28304 | 2018-06-20 |
1710287263 | Stacie A Sidebotham | Nurse Practitioner | 405 Owen Dr, Fayetteville, NC 28304-3411 | 2010-11-01 |
1467779322 | James John Richard | Physician Assistant | 405 Owen Dr, Fayetteville, NC 28304 | 2010-04-30 |
1578791422 | Shireesha Sangineni | Family Medicine | 405 Owen Dr, Fayetteville, NC 28304 | 2009-06-30 |
1063689826 | Nicole Gaskins Greyshock | Internal Medicine | 405 Owen Dr, Fayetteville, NC 28304-3411 | 2008-05-12 |
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 CAPE FEAR FAMILY MEDICAL CARE.
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.