MCPC-10, LLC (NPI# 1366822595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366822595 |
| Entity Type | Organization |
| Organization Name | MCPC-10, LLC |
| Other Organization Name | FIRSTHEALTH CARDIOVASCULAR VALVE CLINIC |
| Practice Address |
530 Sandhurst Dr Fayetteville NC 28304-4426 |
| Mailing Address |
Po Box 843257 Boston MA 02284-3257 |
| Practice Telephone | 8552943278 |
| Practice Fax Number | 8555978620 |
| Mailing Telephone | 8552943278 |
| Mailing Fax Number | 8555978620 |
| Enumeration Date | 2015-06-03 |
| Last Update Date | 2015-07-15 |
| Authorized Official Name | LYNN S DEJACO (CFO) |
| Authorized Official Telephone | 9107151913 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| FIRSTHEALTH CARDIOVASCULAR VALVE CLINIC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427472315 | Mcpc-10, LLC | Surgery | 155 Memorial Dr, Pinehurst, NC 28374-8710 | 2014-02-12 |
| 1457600504 | Mcpc-10, LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 155 Memorial Dr, Pinehurst, NC 28374-8710 | 2012-09-05 |
| Street Address |
530 SANDHURST DR |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28304-4426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902808850 | Gabriel I Fernandez | Family Medicine | 530 Sandhurst Dr, Fayetteville, NC 28304-4426 | 2005-08-11 |
| 1861030165 | Kayla Rueblinger | Physician Assistant | 530 Sandhurst Dr, Fayetteville, NC 28304-4426 | 2019-12-17 |
| 1487170577 | Meredith Paige Mcgorrian | Family Medicine | 530 Sandhurst Dr, Fayetteville, NC 28304 | 2017-08-21 |
| 1780064915 | Mcpc-5, LLC | Internal Medicine | 530 Sandhurst Dr, Fayetteville, NC 28304-4426 | 2015-06-03 |
| 1023268745 | Piedmont Physical Therapy Specialist LLC | Physical Therapist | 530 Sandhurst Dr, Fayetteville, NC 28304-4426 | 2008-09-30 |
| 1932387636 | Bruce Eugene Veeder | Family Medicine | 530 Sandhurst Dr, Fayetteville, NC 28304-4426 | 2008-02-05 |
| 1568642445 | New Hope Family Practice, PC | Clinic/Center | 530 Sandhurst Dr, Fayetteville, NC 28304-4426 | 2007-11-08 |
| 1194912410 | Richard Halvor Aram | Physical Therapist | 530 Sandhurst Dr, Fayetteville, NC 28304-4426 | 2007-10-01 |
| 1104013440 | Jorgine E Aram | Physical Therapist | 530 Sandhurst Dr, Fayetteville, NC 28304-4426 | 2007-10-01 |
| 1316148851 | Tamela B Baldwin | Physical Therapy Assistant | 530 Sandhurst Dr, Fayetteville, NC 28304-4426 | 2007-05-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598301061 | Coast To Coast Bilingual Counseling | Social Worker | 910 Hope Mills Road, Fayetteville, NC 28304 | 2019-11-20 |
| 1811530561 | Frances L. Hurst | Technician | 6732 Carloway Dr, Fayetteville, NC 28304 | 2019-10-25 |
| 1538717764 | Rose Mary A O'conner | Technician | 3530 Madison Ave, Fayetteville, NC 28304 | 2019-08-30 |
| 1932756087 | Sally Frances Jones | Technician | 2053 Mango Circle, Fayetteville, NC 28304 | 2019-08-23 |
| 1326528803 | Jeneen Yvette Townsend | Counselor | 2671 Adams Lake Dr Apt F, Fayetteville, NC 28304 | 2018-08-15 |
| 1780179580 | Ma Cornelia Villavicencio Leano | Nurse Practitioner | 3081 Stone Carriage Cir Apt Z, Fayetteville, NC 28304 | 2018-06-25 |
| 1861986267 | Pediatric After Hours Care of Fayetteville | Pediatrics | 556 Sandhurst Drive, Fayetteville, NC 28304 | 2018-06-19 |
| 1700386133 | Good Night Medical of Ohio, LLC | Durable Medical Equipment & Medical Supplies | 405 Owen Dr Ste 202, Fayetteville, NC 28304 | 2018-02-12 |
| 1003321365 | Valleygate Dental Surgery Center of Fayetteville, LLC | Dentist | 2038 Litho Place, Fayetteville, NC 28304 | 2017-12-08 |
| 1871004663 | The Salt Project | Marriage & Family Therapist | 1611-b Owen Dr., Fayetteville, NC 28304 | 2017-10-19 |
| Find all providers in zip 28304 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144268798 | Sandhills Heart Surgery Pa | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3419a Melrose Rd, Fayetteville, NC 28304-1608 | 2006-06-04 |
| 1699775825 | Gregory Stephen Keagy | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2153 Valleygate Dr, Suite 101, Fayetteville, NC 28304-3681 | 2005-07-29 |
| 1235779349 | Meagan Nicole Backs | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3276 N Northhills Blvd, Fayetteville, AR 72703-4005 | 2020-01-07 |
| 1356842884 | Washington Regional Medical System | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3276 N Northhills Blvd, Fayetteville, AR 72703-4005 | 2018-02-21 |
| 1386084671 | Cumberland County Hospital System, Inc. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2153 Valleygate Dr, Suite 101, Fayetteville, NC 28304-3681 | 2013-07-01 |
| 1922019777 | John C Alexander | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2006-08-10 |
| 1528087772 | Robert E Maughan | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2153 Valleygate Dr, Suite 101, Fayetteville, NC 28304-3681 | 2006-07-19 |
| 1235192725 | Cape Fear Cardiovascular & Thoracic Surgery Pa | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2153 Valleygate Dr, Suite 101, Fayetteville, NC 28304-3667 | 2006-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750681185 | Robin G Cummings | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 360 Tall Timbers Drive, Pinehurst, NC 28374 | 2010-11-02 |
| 1619294345 | Peter John Smit | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Department of Cardiothoracic Surgery, Wake Forest Baptist Hospital Medical Center Boulevard, Winston Salem, NC 27157 | 2010-04-20 |
| 1679707913 | Chayanin Vatcharasiritham | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 115 Heart Dr., Ecu Physicians, Greenville, NC 27834 | 2009-05-14 |
| 1497903884 | Kecia Renee Simmons | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2203 Neuse Boulevard, Coastal Surgical Specialists, Pa, New Bern, NC 28560-4311 | 2008-08-28 |
| 1871750406 | Betty Caroline Tong | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Duke South Rm 3589, Durham, NC 27710-0001 | 2008-05-21 |
| 1376715656 | Thomas George Caranasos | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3040 Burnett Womack Building, Campus Box 7065, Chapel Hill, NC 27599-7065 | 2008-03-27 |
| 1689859332 | Ansar Hassan | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Moye Blvd, Greenville, NC 27834-4300 | 2007-12-31 |
| 1801077268 | Pinehurst Surgical Clinic Pa | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 109 Physicians Park, Rockingham, NC 28379-5205 | 2007-11-14 |
| 1316047582 | Leon G Alexander | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 17200 Due West Dr, Charlotte, NC 28278-9003 | 2006-09-25 |
| 1023029485 | Joseph William Cook | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1001 Blythe Blvd Ste 300, Charlotte, NC 28203-5863 | 2006-08-11 |
| Find all providers with the same taxonomy | ||||
| City | FAYETTEVILLE |
| Zip Code | 28304 |
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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.