CAPE FEAR PHYSICIAN SERVICES, INC. (NPI# 1972974509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972974509 |
| Entity Type | Organization |
| Organization Name | CAPE FEAR PHYSICIAN SERVICES, INC. |
| Practice Address |
2221 S 17th St Wilmington NC 28401-7542 |
| Practice Telephone | 9106679402 |
| Practice Fax Number | 8776654450 |
| Mailing Telephone | 9106679402 |
| Mailing Fax Number | 8776654450 |
| Enumeration Date | 2015-10-08 |
| Last Update Date | 2015-10-08 |
| Authorized Official Name | DANIEL E GOODWIN (EXE VP) |
| Authorized Official Telephone | 9106679402 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
Allopathic & Osteopathic Physicians |
| Street Address |
2221 S 17TH ST |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28401-7542 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598303356 | Henna Shah Ables | Midwife | 2221 S 17th St, Wilmington, NC 28401-7542 | 2019-12-11 |
| 1437688207 | Ashli Mckenzie Gibson | Advanced Practice Midwife | 2221 S 17th St, Wilmington, NC 28401-7542 | 2017-06-06 |
| 1740684307 | New Hanover Regional Medical Center | Advanced Practice Midwife | 2221 S 17th St, Wilmington, NC 28401-7542 | 2014-10-10 |
| 1417361775 | Carolina Healthcare Associates, Inc. | Obstetrics & Gynecology | 2221 S 17th St, Wilmington, NC 28401-7542 | 2014-06-16 |
| 1336377621 | Health Sciences Foundation, Inc | Counselor | 2221 S 17th St, Wilmington, NC 28401-7542 | 2009-06-25 |
| 1841329844 | Michael Reilly Shaughnessy | Anesthesiology | 2221 S 17th St, Wilmington, NC 28401-7542 | 2007-03-05 |
| 1265537070 | Health Sciences Foundation Inc | Surgery | 2221 S 17th St, Wilmington, NC 28401-7542 | 2006-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275002461 | Thrivetothrive, LLC | Physical Therapist | 1606 Physicians Drive, Inside Promina Health, Wilmington, NC 28401 | 2018-11-16 |
| 1841787454 | Kevin Christopher Panebianco | Family Medicine | 1911 S 17th St Ste 130a, Wilmington, NC 28401 | 2018-04-18 |
| 1518472588 | Michelle Bruin | Family Medicine | 415 S. 2nd Street, Wilmington, NC 28401 | 2017-12-12 |
| 1639617343 | Anna Farwell | Behavior Technician | 3904 Oleander Dr. Suite 102, Wilmington, NC 28401 | 2017-02-02 |
| 1588034144 | Dimitri Zivko Pitovski | Allergy & Immunology | 1099 Medical Center Dr Unit 100b, Wilmington, NC 28401 | 2015-09-25 |
| 1629457007 | Megan Havel | Counselor | 1512 E Lakeshore Drive, Wilmington, NC 28401 | 2015-05-19 |
| 1154709251 | Lance Hutchens | Dentist | 1611 Doctors Cir, Wilmington, NC 28401 | 2015-05-11 |
| 1609281161 | Diane Pittman Whitford | Counselor | 313 Walnut St., Wilmington, NC 28401 | 2014-06-24 |
| 1942550728 | Bryan Cole Chalk | Nurse Anesthetist, Certified Registered | 2131 S 17th Street, Wilmington, NC 28401 | 2012-09-19 |
| 1740566546 | Valerie Baars | Pharmacist | 2302 S 17th Street, Wilmington, NC 28401 | 2011-10-25 |
| Find all providers in zip 28401 | ||||
| Taxonomy Code | 207VX0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Obstetrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376011221 | Community Birth Group | Obstetrics & Gynecology | 41b Elsmere Blvd, Wilmington, DE 19805-4105 | 2018-11-08 |
| 1154776797 | Prospect Health Access Network, Inc. | Obstetrics & Gynecology | 2106 Silverside Rd, Suite 202, Wilmington, DE 19810-4162 | 2016-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942757034 | Stacie Walker | Obstetrics & Gynecology | 4414 Lake Boone Trl Ste 311, Raleigh, NC 27607 | 2016-09-06 |
| 1245599273 | Jessica Son | Obstetrics & Gynecology | 204 Oakwood Ct, Winston Salem, NC 27103-1955 | 2012-05-11 |
| 1124192737 | Peter F Mcilveen | Obstetrics & Gynecology | 942 Johnson Ridge Rd, Elkin, NC 28621-2212 | 2006-11-17 |
| 1487606943 | Kenneth Wade Jackson Jr. | Obstetrics & Gynecology | 22 Manningfield Dr, Fletcher, NC 28732-9457 | 2006-05-16 |
| 1689663999 | Charles Augustus Harper Jr. | Obstetrics & Gynecology | 706 Green Valley Road, Suite 506, Greensboro, NC 27408-7023 | 2005-10-19 |
| 1669474268 | Laurie May Marston | Obstetrics & Gynecology | 2304 Wesvill Ct, Ste 210, Raleigh, NC 27607-2973 | 2005-08-12 |
| 1861498354 | John Davis Hepler | Obstetrics & Gynecology | 300 W 27th St, Lumberton, NC 28358-3075 | 2005-06-21 |
| 1942766886 | Watina D Gibbs | Obstetrics & Gynecology | 501 E Green Dr, High Point, NC 27260-6707 | 2019-02-15 |
| 1346760675 | Trisha Ann Dmytruk | Obstetrics & Gynecology | 11840 Southmore Dr Ste 100, Charlotte, NC 28277-4821 | 2017-06-27 |
| 1679012660 | Novant Medical Group, Inc. | Obstetrics & Gynecology | 6324 Fairview Rd Ste 430, Charlotte, NC 28210-4278 | 2017-02-23 |
| Find all providers with the same taxonomy | ||||
| City | WILMINGTON |
| Zip Code | 28401 |
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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.