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CAROLINA CAPE FEAR MEDICAL GROUP PA NPI 1124450572


NPI Information

NPI: 1124450572
Provider Name: CAROLINA CAPE FEAR MEDICAL GROUP, PA

Doing Business As: CAROLINA HEART AND LEG CENTER, PA

Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

CLIA Number: 34D0710816

Address:
3637 CAPE CENTER DR
FAYETTEVILLE, NC
ZIP 28304
Phone: (910) 491-1760
Get Directions

CAROLINA CAPE FEAR MEDICAL GROUP, PA is a cardiovascular disease internal medicine in Fayetteville, NC. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. CAROLINA CAPE FEAR MEDICAL GROUP, PA NPI is 1124450572. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Carolina Heart And Leg Center, Pa.

The provider's business location address is:

3637 CAPE CENTER DR
FAYETTEVILLE, NC
ZIP 28304-457
Phone: (910) 491-1760
Fax: (910) 491-1764

The provider's authorized official is Hari P Saini .
The authorized official title is Owner and has the following contact phone number (910) 491-1760.

The CLIA number assigned to this NPI record is 34D0710816 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/7/2013 and was last updated on 1/24/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0000XInternal MedicineCardiovascular Disease200300698NORTH CAROLINAYes
2207RC0000XInternal MedicineCardiovascular DiseaseNo
3207UN0901XNuclear MedicineNuclear Cardiology200300698NORTH CAROLINANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11124450572MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.