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CAPE FEAR ORTHOPAEDIC CLINIC P.A. NPI 1477890069


NPI Information

NPI: 1477890069
Provider Name: CAPE FEAR ORTHOPAEDIC CLINIC, P.A.
Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization

CLIA Number: 34D1103390

Address:
6000 RAMSEY ST
SUITE 108
FAYETTEVILLE, NC
ZIP 28311
Phone: (910) 484-3332
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CAPE FEAR ORTHOPAEDIC CLINIC, P.A. is an orthopaedic surgery in Fayetteville, NC. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. CAPE FEAR ORTHOPAEDIC CLINIC, P.A. NPI is 1477890069. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6000 RAMSEY ST
SUITE 108
FAYETTEVILLE, NC
ZIP 28311-190
Phone: (910) 484-3332
Fax: (910) 483-7301

The provider's authorized official is Stanley Keith Gilbert .
The authorized official title is President and has the following contact phone number (910) 484-2171.

The CLIA number assigned to this NPI record is 34D1103390 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/16/2013 and was last updated on 6/26/2013.


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
1207XP3100XOrthopaedic SurgeryPediatric Orthopaedic SurgeryNo
2207XS0106XOrthopaedic SurgeryHand SurgeryNo
3207XX0004XOrthopaedic SurgeryFoot and Ankle SurgeryNo
4207XX0005XOrthopaedic SurgerySports MedicineNo
5224Z00000XOccupational Therapy AssistantNo
6225100000XPhysical TherapistNo
7225200000XPhysical Therapy AssistantNo
8225X00000XOccupational TherapistNo
9363AS0400XPhysician AssistantSurgicalNo
10207X00000XOrthopaedic SurgeryYes

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
10592050002MEDICARE NSCNORTH CAROLINA
27901185MEDICAIDNORTH CAROLINA
30198MEDICARE PINNORTH 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.