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CAPE FEAR SPORTS MEDICINE PA NPI 1861670929


NPI Information

NPI: 1861670929
Provider Name: CAPE FEAR SPORTS MEDICINE PA
Classification: Orthopaedic Surgery - 207XX0005X
Entity Type: Organization

Specialization: Sports Medicine

Address:
6019 OLEANDER DRIVE
SUITE 200
WILMINGTON, NC
ZIP 28403
Phone: (910) 790-9714
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CAPE FEAR SPORTS MEDICINE PA is a sports medicine orthopaedic surgery in Wilmington, NC. The provider is an orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. CAPE FEAR SPORTS MEDICINE PA NPI is 1861670929. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6019 OLEANDER DRIVE
SUITE 200
WILMINGTON, NC
ZIP 28403
Phone: (910) 790-9714
Fax: (910) 791-1063

The provider's authorized official is Dale Boyd .
The authorized official title is President and has the following contact phone number (910) 790-9714.

The enumeration date for this NPI number is 1/31/2008 and was last updated on 10/6/2014.


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
1207XX0005XOrthopaedic SurgerySports Medicine35845NORTH CAROLINAYes

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
18917205MEDICAIDNORTH CAROLINA
2E99597MEDICARE UPINNORTH CAROLINA
32330020MEDICARE 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: 11/14/2023

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.