Kelly Van Fossen (NPI# 1396957429, PAC ID# 2668525148) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1396957429 |
| PAC ID by PECOS | 2668525148 |
| Professional Enrollment ID | I20090730000565 |
| Full Name | Kelly Van Fossen |
| Organization Legal Name | CUMBERLAND COUNTY HOSPITAL SYSTEM INC |
| Address |
4140 Ferncreek Dr Fayetteville NC 28314-2563 |
| Phone Number | 9104853880 |
| Gender | F |
| Medical School | KIRKSVILLE COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2004 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 1850204041 |
| Number of Group Practice Members | 401 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340028 | CAPE FEAR VALLEY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 4140 Ferncreek Dr, Fayetteville, NC 28314-2563 | 9104853880 | CUMBERLAND COUNTY HOSPITAL SYSTEM INC |
| Organization Legal Name | CUMBERLAND COUNTY HOSPITAL SYSTEM INC |
| Physicians | 390 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessie Barton Lawrence | Family Medicine | Cumberland County Hospital System Inc | 1463 Pamalee Dr, Fayetteville, NC 28303-3974 |
| Latondra Denise Stillwell Barker | Physician Assistant | Cumberland County Hospital System Inc | 3308 Melrose Rd, Fayetteville, NC 28304-1604 |
| Joseph Clair | Certified Registered Nurse Anesthetist (crna) | Cumberland County Hospital System Inc | 1638 Owen Dr, Fayetteville, NC 28304-3424 |
| Rose M Graham | Nurse Practitioner | Cumberland County Hospital System Inc | 1201 Walter Reed Rd, Fayetteville, NC 28304-4437 |
| Hannah Elizabeth Foote Bensimhon | Cardiovascular Disease (cardiology) | Cumberland County Hospital System Inc | 800 Tighman Dr, Dunn, NC 28334-5510 |
| Teresa L Conrad | Obstetrics/gynecology | Cumberland County Hospital System Inc | 1341 Walter Reed Rd, Fayetteville, NC 28304-4415 |
| Kondal R Madaram | Psychiatry | Cumberland County Hospital System Inc | 711 Executive Pl, Fl 4, Fayetteville, NC 28305-5193 |
| Georgia A Strickland | Nurse Practitioner | Cumberland County Hospital System Inc | 1724 Roxie Ave, Suite 18, Fayetteville, NC 28304-1623 |
| Keira Marie Donaldson | Nurse Practitioner | Cumberland County Hospital System Inc | 1307 Avon St, Fayetteville, NC 28304-4423 |
| Austin P Matthews | Podiatry | Cumberland County Hospital System Inc | 815 Wesley Pines Rd, Lumberton, NC 28358-2359 |
| Street Address |
4140 FERNCREEK DR |
| City | FAYETTEVILLE |
| State | NC |
| Zip | 28314-2563 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Edwin C Newman Iii | Orthopedic Surgery | Cape Fear Orthopaedic Clinic Pa | 4140 Ferncreek Dr, Suite 801, Fayetteville, NC 28314-2572 |
| Matthew P Condo | Physical Therapy | Cape Fear Orthopaedic Clinic Pa | 4140 Ferncreek Dr, Suite 801, Fayetteville, NC 28314-2572 |
| Phillip Randal Cannon Jr. | Physical Therapy | Cape Fear Orthopaedic Clinic Pa | 4140 Ferncreek Dr, Suite 801, Fayetteville, NC 28314-2572 |
| Walter B Greene | Orthopedic Surgery | Cape Fear Orthopaedic Clinic Pa | 4140 Ferncreek Dr, Suite 801, Fayetteville, NC 28314-2572 |
| Paul E Szwejbka | Neurology | 4140 Ferncreek Dr, Suite 401, Fayetteville, NC 28314-2567 | |
| April Gant | Nurse Practitioner | 4140 Ferncreek Dr, Suite 300, Fayetteville, NC 28314-2566 | |
| Audrey Eckhoff Stokes | Physical Therapy | Cape Fear Orthopaedic Clinic Pa | 4140 Ferncreek Dr, Suite 801, Fayetteville, NC 28314-2572 |
| Zachary John Collins | Physical Therapy | Cape Fear Orthopaedic Clinic Pa | 4140 Ferncreek Dr, Suite 801, Fayetteville, NC 28314-2572 |
| Alice Jean Mullholand | Occupational Therapy | Cape Fear Orthopaedic Clinic Pa | 4140 Ferncreek Dr, Suite 801, Fayetteville, NC 28314-2572 |
| Amber J Gendron | Physician Assistant | Cape Fear Orthopaedic Clinic Pa | 4140 Ferncreek Dr, Suite 801, Fayetteville, NC 28314-2572 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard M Kuhns Iii | Chiropractic | 6415 Brookstone Ln, Suite 102, Fayetteville, NC 28314-0075 | |
| Cecilia V Ainolhayat | Family Medicine | Cumberland County Hospital System Inc | 2112 Skibo Rd, Fayetteville, NC 28314-0233 |
| Daniel C Uba | Internal Medicine | 1905 Skibo Rd, Suite 100, Fayetteville, NC 28314-0261 | |
| Salvatore C Daniele | Chiropractic | 1905 Skibo Rd, Suite 103, Fayetteville, NC 28314-0261 | |
| Kenya D Bass | Physician Assistant | Rapha Health Systems, Inc | 1905 Skibo Rd, Suite 100, Fayetteville, NC 28314-0261 |
| Trang T Ngo | Nurse Practitioner | Matrix Occupational Health Inc | 217 Glensford Dr, Fayetteville, NC 28314-0892 |
| Herman A Allison | Nurse Practitioner | Matrix Occupational Health Inc | 217 Glensford Dr, Fayetteville, NC 28314-0892 |
| Peter Graham Johnson | Preventative Medicine | Matrix Occupational Health Inc | 217 Glensford Dr, Fayetteville, NC 28314-0892 |
| Abiose Lasaki | Family Practice | Matrix Occupational Health Inc | 217 Glensford Dr, Fayetteville, NC 28314-0892 |
| John K Throckmorton | Podiatry | Gooden Mobile Pod Nc Pllc | 311 Mcfadyen Dr, Fayetteville, NC 28314-0937 |
| Find all physicians in zip 28314 | |||
| City | FAYETTEVILLE |
| Zip Code | 28314 |
| Specialty | GENERAL SURGERY |
| City + Specialty | FAYETTEVILLE + GENERAL SURGERY |
Please comment or provide details below to improve the information on Kelly Van Fossen.
| 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.