DR. KIRK BERRY FAUST (NPI# 1053311852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053311852 |
| Entity Type | Individual |
| Full Name | DR. KIRK BERRY FAUST |
| Credential | MD |
| Practice Address |
2800 Blue Ridge Rd Ste 300 Raleigh NC 27607-6476 |
| Practice Telephone | 9197847874 |
| Practice Fax Number | 9197842708 |
| Mailing Telephone | 9197847874 |
| Mailing Fax Number | 9197842708 |
| Enumeration Date | 2005-07-22 |
| Last Update Date | 2020-02-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 0027452 | NC | Allopathic & Osteopathic Physicians |
| N | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 0027452 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS | 31422 | 01 |
| Street Address |
2800 BLUE RIDGE RD STE 300 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27607-6476 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801896691 | Joel Bruce Dragelin | Surgery | 2800 Blue Ridge Rd Ste 300, Raleigh, NC 27607-6476 | 2005-07-22 |
| 1518527654 | Jessica Louise Selvaggio | Registered Nurse | 2800 Blue Ridge Rd Ste 300, Raleigh, NC 27607-6476 | 2019-06-20 |
| 1548707698 | Sallie Elliott Corse | Physician Assistant | 2800 Blue Ridge Rd Ste 300, Raleigh, NC 27607-6476 | 2017-01-27 |
| 1962946392 | Laurin Alexis Cahill | Physician Assistant | 2800 Blue Ridge Rd Ste 300, Raleigh, NC 27607-6476 | 2016-12-04 |
| 1497151831 | Stephanie Gurganus Niedzwiecki | Nurse Practitioner | 2800 Blue Ridge Rd Ste 300, Raleigh, NC 27607-6476 | 2014-11-12 |
| 1952540247 | Reza Rahbar-semnani | Surgery | 2800 Blue Ridge Rd Ste 300, Raleigh, NC 27607-6476 | 2009-02-11 |
| 1487818597 | Tatiana Kovtoun | Surgery | 2800 Blue Ridge Rd Ste 300, Raleigh, NC 27607-6476 | 2008-07-17 |
| 1144481409 | Laura Kathleen Altom | Surgery | 2800 Blue Ridge Rd Ste 300, Raleigh, NC 27607-6476 | 2008-06-19 |
| 1578747952 | Lindsey Sean Sharp | Surgery | 2800 Blue Ridge Rd Ste 300, Raleigh, NC 27607-6476 | 2007-12-21 |
| 1407065477 | Paul Beomsoo Park | Surgery | 2800 Blue Ridge Rd Ste 300, Raleigh, NC 27607 | 2007-05-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972093144 | Kyndra Lawson | Behavior Technician | 5121 Kingdom Way, Suite 100, Raleigh, NC 27607 | 2018-05-14 |
| 1578082905 | Margaret Roberts Bova | Dietitian, Registered | 4207 Lake Boone Trail, Suite 210, Raleigh, NC 27607 | 2017-09-18 |
| 1184141897 | Chricat Garrard | Nurse Practitioner | 4207 Lake Boone Trl Ste 200, Raleigh, NC 27607 | 2017-08-23 |
| 1487178620 | John Patrick Morton | Pharmacist | 2411 Landmark Dr, Raleigh, NC 27607 | 2017-07-31 |
| 1023538857 | Heather Margaret Mazzola | Audiologist | 7800 Lake Boone Trail, 100, Raleigh, NC 27607 | 2017-06-22 |
| 1790216984 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2411 Landmark Drive, Raleigh, NC 27607 | 2017-03-21 |
| 1558819516 | Corilin Nocito Meggitt | Nurse Practitioner | 4505 Fair Meadows Ln Ste 102, Raleigh, NC 27607 | 2016-09-19 |
| 1942757034 | Stacie Walker | Obstetrics & Gynecology | 4414 Lake Boone Trl Ste 311, Raleigh, NC 27607 | 2016-09-06 |
| 1831644533 | Alisa Smajlagic Howe | Nurse Practitioner | 4210 Lake Boone Trail, Rex Rehab & Nursing Center, Raleigh, NC 27607 | 2016-08-23 |
| 1235598632 | Yoseph Saleh | Dentist | 107 Minden Ln, Raleigh, NC 27607 | 2016-02-15 |
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| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356601066 | Stephanie Leigh Riggins | Surgery | 3024 New Bern Ave Fl 3, Raleigh, NC 27610 | 2012-05-29 |
| 1245515162 | New Hope Wellness and Total Bariatric Care | Surgery | 9910 Strickland Rd, Suite 100, Raleigh, NC 27615-2083 | 2011-10-12 |
| 1356524086 | Byron Keith Forgy | Surgery | 160 Mine Lake Ct Ste 200, Raleigh, NC 27615 | 2007-12-17 |
| 1295936714 | Matthew Alleman | Surgery | 3024 New Bern Ave Ste 304, Raleigh, NC 27610-1247 | 2007-05-31 |
| 1447340906 | Amber L Allen | Surgery | 6733 Falls of Neuse Rd, Raleigh, NC 27615-5305 | 2006-10-13 |
| 1376636548 | J Duncan Phillips | Surgery | 3024 New Bern Ave Suite 302, Raleigh, NC 27610 | 2006-10-02 |
| 1619991353 | Albert S. Chang | Surgery | 4420 Lake Boone Trl Ste 100, Raleigh, NC 27607-7505 | 2006-07-26 |
| 1801866108 | Uday S Kavde | Surgery | 3410 Six Forks Rd, Raleigh, NC 27609-7234 | 2006-01-26 |
| 1518945583 | Christopher Roy Watters | Surgery | 1212 Cedarhurst Drive, Suite 102, Raleigh, NC 27609 | 2006-01-09 |
| 1265419931 | William Tucker Cline | Surgery | 2800 Blue Ridge Blvd, Suite 201, Raleigh, NC 27607-6477 | 2005-12-23 |
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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.