Statcare,LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

STATCARE,LLC

Practice address

9525 Cliffdale Rd
Fayetteville, NC 28304-5956

Phone

(910) 826-7828

Fax

(910) 864-7925

NPI assigned

Aug 23, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Paige Williams

Title

Office Manager

Phone

(910) 826-7828

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Statcare2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Statcare, LLC

  • Internal Medicine Physician
  • Fayetteville, NC
  • NPI 1750448791
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Raju B Raval, DO

  • Internal Medicine Physician
  • Fayetteville, NC
  • NPI 1962403196
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1345680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345680000000",
    "number": "1053669002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 87707",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283047707",
            "telephone_number": "910-826-7828",
            "fax_number": "910-864-7925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9525 CLIFFDALE RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283045956",
            "telephone_number": "910-826-7828",
            "fax_number": "910-864-7925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATCARE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-23",
        "last_updated": "2012-08-23",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "PAIGE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "910-826-7828"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5903128",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Quenicia Nobles Starks, MSOT, OTR/L
• Teressa Starr, DO
• Stash Home Care Agency LLC
• Kimberly Marie Staszko, CRNA
• Statcare, LLC
• State of NC Division of Health Services
• Aniyah Staton
• Hannah Rose Staton, DPT
• Alayshia Shanta' Steadman-Barr, LMSW, LCSWA
• Karen Capen Stearns, CRNA

• Internal Medicine Physician in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.