Timothy P Blair (NPI# 1760456537, PAC ID# 1355436866) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1760456537 |
| PAC ID by PECOS | 1355436866 |
| Professional Enrollment ID | I20070928000239 |
| Full Name | Timothy P Blair |
| Organization Legal Name | CAPE FEAR CARDIOLOGY ASSOCIATES PA |
| Address |
3634 Cape Ctr Dr Fayetteville NC 28304-4406 |
| Phone Number | 9104856470 |
| Gender | M |
| Medical School | UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE |
| Graduation Year | 1974 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 3476539883 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340028 | CAPE FEAR VALLEY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3634 Cape Ctr Dr, Fayetteville, NC 28304-4406 | 9104856470 | CAPE FEAR CARDIOLOGY ASSOCIATES PA |
| Organization Legal Name | CAPE FEAR CARDIOLOGY ASSOCIATES PA |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brenda May Depaola | Cardiovascular Disease (cardiology) | Cape Fear Cardiology Associates Pa | 3634 Cape Ctr Dr, Fayetteville, NC 28304-4406 |
| Shavegas R Sutton | Nurse Practitioner | Cape Fear Cardiology Associates Pa | 3634 Cape Ctr Dr, Fayetteville, NC 28304-4406 |
| Steven J Dzama | Physician Assistant | Cape Fear Cardiology Associates Pa | 3634 Cape Ctr Dr, Fayetteville, NC 28304-4406 |
| Dylan K Miller | Nurse Practitioner | Cape Fear Cardiology Associates Pa | 3634 Cape Ctr Dr, Fayetteville, NC 28304-4406 |
| Srinivas Munugoti | Cardiovascular Disease (cardiology) | Cape Fear Cardiology Associates Pa | 3634 Cape Ctr Dr, Fayetteville, NC 28304-4406 |
| Amudhan Jyothidasan | Cardiovascular Disease (cardiology) | Cape Fear Cardiology Associates Pa | 3634 Cape Ctr Dr, Fayetteville, NC 28304-4406 |
| Thor E Klang | Cardiovascular Disease (cardiology) | Cape Fear Cardiology Associates Pa | 3634 Cape Ctr Dr, Fayetteville, NC 28304-4406 |
| Manoj Bhandari | Cardiovascular Disease (cardiology) | Cape Fear Cardiology Associates Pa | 3634 Cape Ctr Dr, Fayetteville, NC 28304-4406 |
| Martin E Bacon | Cardiovascular Disease (cardiology) | Cape Fear Cardiology Associates Pa | 3634 Cape Ctr Dr, Fayetteville, NC 28304-4406 |
| Michael C Hodges | Cardiovascular Disease (cardiology) | Cape Fear Cardiology Associates Pa | 3634 Cape Ctr Dr, Fayetteville, NC 28304-4406 |
| Street Address |
3634 CAPE CTR DR |
| City | FAYETTEVILLE |
| State | NC |
| Zip | 28304-4406 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brenda May Depaola | Cardiovascular Disease (cardiology) | Cape Fear Cardiology Associates Pa | 3634 Cape Ctr Dr, Fayetteville, NC 28304-4406 |
| Shavegas R Sutton | Nurse Practitioner | Cape Fear Cardiology Associates Pa | 3634 Cape Ctr Dr, Fayetteville, NC 28304-4406 |
| Steven J Dzama | Physician Assistant | Cape Fear Cardiology Associates Pa | 3634 Cape Ctr Dr, Fayetteville, NC 28304-4406 |
| Dylan K Miller | Nurse Practitioner | Cape Fear Cardiology Associates Pa | 3634 Cape Ctr Dr, Fayetteville, NC 28304-4406 |
| Srinivas Munugoti | Cardiovascular Disease (cardiology) | Cape Fear Cardiology Associates Pa | 3634 Cape Ctr Dr, Fayetteville, NC 28304-4406 |
| Amudhan Jyothidasan | Cardiovascular Disease (cardiology) | Cape Fear Cardiology Associates Pa | 3634 Cape Ctr Dr, Fayetteville, NC 28304-4406 |
| Thor E Klang | Cardiovascular Disease (cardiology) | Cape Fear Cardiology Associates Pa | 3634 Cape Ctr Dr, Fayetteville, NC 28304-4406 |
| Manoj Bhandari | Cardiovascular Disease (cardiology) | Cape Fear Cardiology Associates Pa | 3634 Cape Ctr Dr, Fayetteville, NC 28304-4406 |
| Martin E Bacon | Cardiovascular Disease (cardiology) | Cape Fear Cardiology Associates Pa | 3634 Cape Ctr Dr, Fayetteville, NC 28304-4406 |
| Michael C Hodges | Cardiovascular Disease (cardiology) | Cape Fear Cardiology Associates Pa | 3634 Cape Ctr Dr, Fayetteville, NC 28304-4406 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rachelle Kelly Porath | Physical Therapy | Activcare Physical Therapy, LLC | 2350 Bentridge Ln, Suite 100, Fayetteville, NC 28304-0590 |
| Amir Sanii | Physical Therapy | Activcare Physical Therapy, LLC | 2350 Bentridge Ln, Suite 100, Fayetteville, NC 28304-0590 |
| Abigail Michelle Weiskopf | Physical Therapy | Activcare Physical Therapy, LLC | 2350 Bentridge Ln, Suite 100, Fayetteville, NC 28304-0590 |
| Cynthia Caskey Oberfelder | Diagnostic Radiology | Oroville Hospital | 2053 Loganberry Dr, Fayetteville, NC 28304-0804 |
| Frank C Snyder | Diagnostic Radiology | Oroville Hospital | 2053 Loganberry Dr, Fayetteville, NC 28304-0804 |
| Latondra Denise Stillwell Barker | Physician Assistant | Cumberland County Hospital System Inc | 3308 Melrose Rd, Fayetteville, NC 28304-1604 |
| Cheryl J Fiser | Clinical Social Worker | Cumberland County Hospital System Inc | 3308 Melrose Rd, Fayetteville, NC 28304-1604 |
| Amita S Shetty | Internal Medicine | Cumberland County Hospital System Inc | 3308 Melrose Rd, Fayetteville, NC 28304-1604 |
| Yvonne W Lewis | Physician Assistant | Cumberland County Hospital System Inc | 3308 Melrose Rd, Fayetteville, NC 28304-1604 |
| Sheila M Agustin | Nurse Practitioner | Cumberland County Hospital System Inc | 3308 Melrose Rd, Fayetteville, NC 28304-1604 |
| Find all physicians in zip 28304 | |||
| City | FAYETTEVILLE |
| Zip Code | 28304 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | FAYETTEVILLE + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Please comment or provide details below to improve the information on Timothy P Blair.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.