Matthew Mcentire (NPI# 1417464777, PAC ID# 4981965852) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1417464777 |
| PAC ID by PECOS | 4981965852 |
| Professional Enrollment ID | I20180312000540 |
| Full Name | Matthew Mcentire |
| Organization Legal Name | CAROLINA HEART AND LEG CENTER, PA |
| Address |
3637 Cape Ctr Dr Fayetteville NC 28304-4457 |
| Phone Number | 9104911760 |
| Gender | M |
| Graduation Year | 2017 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 2466689641 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340028 | CAPE FEAR VALLEY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3637 Cape Ctr Dr, Fayetteville, NC 28304-4457 | 9104911760 | CAROLINA HEART AND LEG CENTER, PA |
| Organization Legal Name | CAROLINA HEART AND LEG CENTER, PA |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie M Oliver | Nurse Practitioner | Carolina Heart and Leg Center, Pa | 3637 Cape Ctr Dr, Fayetteville, NC 28304-4457 |
| Mayur Lakhani | Interventional Cardiology | Carolina Heart and Leg Center, Pa | 3637 Cape Ctr Dr, Fayetteville, NC 28304-4457 |
| Paul Henry Ziomek | Internal Medicine | Carolina Heart and Leg Center, Pa | 3637 Cape Ctr Dr, Fayetteville, NC 28304-4457 |
| Hari Parshad Saini | Internal Medicine | Carolina Heart and Leg Center, Pa | 3637 Cape Ctr Dr, Fayetteville, NC 28304-4457 |
| Michelle Sohn Lee | Nurse Practitioner | Carolina Heart and Leg Center, Pa | 3637 Cape Ctr Dr, Fayetteville, NC 28304-4457 |
| Frank A Fedele | Interventional Cardiology | Carolina Heart and Leg Center, Pa | 3637 Cape Ctr Dr, Fayetteville, NC 28304-4457 |
| Mitchell Shane Skinner | Physician Assistant | Carolina Heart and Leg Center, Pa | 3637 Cape Ctr Dr, Fayetteville, NC 28304-4457 |
| Joy Klaben | Physician Assistant | Carolina Heart and Leg Center, Pa | 3637 Cape Ctr Dr, Fayetteville, NC 28304-4457 |
| Street Address |
3637 CAPE CTR DR |
| City | FAYETTEVILLE |
| State | NC |
| Zip | 28304-4457 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie M Oliver | Nurse Practitioner | Carolina Heart and Leg Center, Pa | 3637 Cape Ctr Dr, Fayetteville, NC 28304-4457 |
| Mayur Lakhani | Interventional Cardiology | Carolina Heart and Leg Center, Pa | 3637 Cape Ctr Dr, Fayetteville, NC 28304-4457 |
| Paul Henry Ziomek | Internal Medicine | Carolina Heart and Leg Center, Pa | 3637 Cape Ctr Dr, Fayetteville, NC 28304-4457 |
| Hari Parshad Saini | Internal Medicine | Carolina Heart and Leg Center, Pa | 3637 Cape Ctr Dr, Fayetteville, NC 28304-4457 |
| Michelle Sohn Lee | Nurse Practitioner | Carolina Heart and Leg Center, Pa | 3637 Cape Ctr Dr, Fayetteville, NC 28304-4457 |
| Frank A Fedele | Interventional Cardiology | Carolina Heart and Leg Center, Pa | 3637 Cape Ctr Dr, Fayetteville, NC 28304-4457 |
| Mitchell Shane Skinner | Physician Assistant | Carolina Heart and Leg Center, Pa | 3637 Cape Ctr Dr, Fayetteville, NC 28304-4457 |
| Joy Klaben | Physician Assistant | Carolina Heart and Leg Center, Pa | 3637 Cape Ctr Dr, Fayetteville, NC 28304-4457 |
| 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 | PHYSICIAN ASSISTANT |
| City + Specialty | FAYETTEVILLE + PHYSICIAN ASSISTANT |
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| 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.