CAPE FEAR NEONATOLOGY (NPI# 1205863297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205863297 |
| Entity Type | Organization |
| Organization Name | CAPE FEAR NEONATOLOGY |
| Practice Address |
1638 Owen Drive Fayetteville NC 28302 |
| Practice Telephone | 9102231339 |
| Practice Fax Number | 9104866502 |
| Mailing Telephone | 9106096762 |
| Mailing Fax Number | 9104866502 |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. THOMAS ARTHUR CISZEK (PRESIDENT) |
| Authorized Official Telephone | 9106096764 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 29541 | NC | Other Service Providers |
| Street Address |
1638 OWEN DRIVE |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205458510 | Emily Elizabeth Olinger | Student in an Organized Health Care Education/Training Program | 1638 Owen Drive, Fayetteville, NC 28304 | 2020-05-08 |
| 1780206102 | Ogar Ogar | Student in an Organized Health Care Education/Training Program | 1638 Owen Drive, Fayetteville, NC 28304-3424 | 2020-05-07 |
| 1548881493 | Babar Afridi | Student in an Organized Health Care Education/Training Program | 1638 Owen Drive, Fayetteville, NC 28304-3424 | 2020-05-01 |
| 1043831274 | Prutha Patel | Student in an Organized Health Care Education/Training Program | 1638 Owen Drive, Fayetteville, NC 28304-3424 | 2020-04-28 |
| 1922629245 | Daniel Scott Barrack | Student in an Organized Health Care Education/Training Program | 1638 Owen Drive, Fayetteville, NC 28304-3424 | 2020-04-27 |
| 1396364220 | Azad Neupane | Student in an Organized Health Care Education/Training Program | 1638 Owen Drive, Fayetteville, NC 28304-3424 | 2020-04-10 |
| 1104445139 | Antonios Anagnostopoulos | Student in an Organized Health Care Education/Training Program | 1638 Owen Drive, Fayetteville, NC 28304 | 2020-04-09 |
| 1447889613 | Alicia Toncar | Student in an Organized Health Care Education/Training Program | 1638 Owen Drive, Fayetteville, NC 28304 | 2020-04-08 |
| 1982232203 | Christopher Davis | Student in an Organized Health Care Education/Training Program | 1638 Owen Drive, Fayetteville, NC 28304-3424 | 2020-03-31 |
| 1053975318 | Nina Kokayeff | Student in an Organized Health Care Education/Training Program | 1638 Owen Drive, Fayetteville, NC 28304 | 2019-04-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477005270 | Brittany Lee Howard | Physician Assistant | 2864 Woodruff Street, Fort Bragg, NC 28302 | 2016-10-27 |
| 1952619082 | Highsmith Rainey Hospital | Long Term Care Hospital | 150 Robeson Street, Fayetteville, NC 28302 | 2010-09-23 |
| 1346422284 | Tawnia Hope Smith | Audiologist | Cape Fear Valley Health System, 1638 Owen Dr., Fayetteville, NC 28302 | 2007-12-03 |
| 1750485959 | Hugh Scott Cameron | Specialist | 1638 Owen Dr, Fayetteville, NC 28302 | 2006-09-11 |
| 1992809065 | Thomas Arthur Ciszek | Pediatrics | 1638 Owen Dr, Fayetteville, NC 28302 | 2006-09-11 |
| 1255754719 | Phanindar Reddy Sadhu | Internal Medicine | Cape Fear Valley Medical Associates, 1638 Owen Drive, Fayetteville, NC 28302-2000 | 2014-02-03 |
| 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 | 28302 |
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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.