| Cape Fear Valley Primary Care-dunn | |
|
803 Tilghman Dr Ste 100 Dunn NC 28334-6699 | |
| (910) 892-1091 | |
| (910) 892-1104 |
| Full Name | Cape Fear Valley Primary Care-dunn |
|---|---|
| Speciality | Internal Medicine |
| Location | 803 Tilghman Dr Ste 100, Dunn, North Carolina |
| Authorized Official Name and Position | Joseph Barton Fiser (VP CORP REV CYCLE/MANAGED CARE) |
| Authorized Official Contact | 9106155572 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cape Fear Valley Primary Care-dunn Po Box 1706 Dunn NC 28335-1706 | Cape Fear Valley Primary Care-dunn 803 Tilghman Dr Ste 100 Dunn NC 28334-6699 Ph: (910) 892-1091 |
| NPI Number | 1184921843 |
|---|---|
| Provider Enumeration Date | 02/16/2011 |
| Last Update Date | 11/19/2024 |
| Certification Date | 11/19/2024 |
| Medicare PECOS PAC ID | 3678757226 |
|---|---|
| Medicare Enrollment ID | O20110406000675 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184921843 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Secondary |
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Christopher Wade Stewart |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851379226 PECOS PAC ID: 5395630776 Enrollment ID: I20040216000734 |
| Provider Name | Prabhakar Narhari Vaidya |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1467496760 PECOS PAC ID: 0345132304 Enrollment ID: I20040409000064 |
| Provider Name | Elizabeth a Butcher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386619278 PECOS PAC ID: 4789645318 Enrollment ID: I20041026000726 |
| Provider Name | Brad Everette Butler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215982475 PECOS PAC ID: 9133132723 Enrollment ID: I20060727000113 |
| Provider Name | Constance Dale Page |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265548671 PECOS PAC ID: 6709888225 Enrollment ID: I20070212000461 |
| Provider Name | Christine Mazzola Khandelwal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265639207 PECOS PAC ID: 1052469335 Enrollment ID: I20090423000808 |
| Provider Name | James Joseph Cappola |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336158070 PECOS PAC ID: 4486785003 Enrollment ID: I20100625000771 |
| Provider Name | Carra a Mclamb |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225152911 PECOS PAC ID: 8729259627 Enrollment ID: I20110927000005 |
| Provider Name | Anshul M Rao |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1811036817 PECOS PAC ID: 5193861755 Enrollment ID: I20120904000452 |
| Provider Name | David L Tolentino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750383550 PECOS PAC ID: 2961448204 Enrollment ID: I20161031002169 |
| Provider Name | Nusrat Anny Mujib |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285053371 PECOS PAC ID: 2466718762 Enrollment ID: I20171101003390 |
| Provider Name | Erica J Bateman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922527423 PECOS PAC ID: 9537428321 Enrollment ID: I20180124003063 |
| Provider Name | Regina Braxton Bray Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003127218 PECOS PAC ID: 1557532652 Enrollment ID: I20181226002181 |
| Provider Name | Kristy Anne Pope |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912548595 PECOS PAC ID: 5395171649 Enrollment ID: I20200204001888 |
| Provider Name | Evelyn Patrick Slee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124478094 PECOS PAC ID: 6305274721 Enrollment ID: I20200318002594 |
| Provider Name | Peggy Michele Robinson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558712224 PECOS PAC ID: 3072942366 Enrollment ID: I20200408001375 |
| Provider Name | Shaina Elizabeth Nazare |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538690557 PECOS PAC ID: 3870861461 Enrollment ID: I20201203000743 |
| Provider Name | Taiwo Adeblola Fubara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518554617 PECOS PAC ID: 5698183168 Enrollment ID: I20210421002902 |
| Provider Name | Jennifer O Hill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871084103 PECOS PAC ID: 0749679140 Enrollment ID: I20211104002744 |
| Provider Name | Jeanna Marie Ashman Stover |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649761230 PECOS PAC ID: 8820476757 Enrollment ID: I20220606002818 |
| Provider Name | Zachary Anton Nevolo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508355058 PECOS PAC ID: 0547695256 Enrollment ID: I20230214000203 |
| Provider Name | Anna Jo Koch |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730889577 PECOS PAC ID: 8820453103 Enrollment ID: I20230421000529 |
| Provider Name | Andrew Stephen Molitoris |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306473012 PECOS PAC ID: 1456775402 Enrollment ID: I20240925000887 |
| Provider Name | Amy Dale Mercado Johnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376829945 PECOS PAC ID: 6800316563 Enrollment ID: I20250225001490 |
Ibrahim N. Oudeh MD PA Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 721 Tilghman Dr, Dunn, NC 28334 Phone: 910-292-2070 |
East Hill Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 520 Erwin Rd, Dunn, NC 28334 Phone: 910-292-2066 Fax: 910-292-2091 |
Hospitalist Medicine Physicians of Harnett County, PLLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 Tilghman Dr, Dunn, NC 28334 Phone: 910-892-7161 |
Tri County Community Health Council Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1508 Maple Grove Church Rd, Unit 1, Dunn, NC 28334 Phone: 877-935-5255 Fax: 910-236-2118 |
Cape Fear Valley Primary Care-dunn Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 803 Tilghman Dr Ste 100, Dunn, NC 28334 Phone: 910-892-1091 Fax: 910-892-1097 |
Trident Pulmonary & Sleep Medicine, PLLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 724 Tilghman Drive, Dunn, NC 28334 Phone: 910-292-2215 Fax: 910-292-2383 |