NPIMap

Organization Active NPI

Firsthealth of the Carolinas, Inc

Doing business as Firsthealth Cardiovascular and Thoracic Center

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Pinehurst, NC
National Provider Identifier
1104009323
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
Legal business name
FIRSTHEALTH OF THE CAROLINAS, INC
Doing business as
Firsthealth Cardiovascular and Thoracic Center
Practice address
35 Memorial Dr
Pinehurst, NC 28374-8708
Phone
(910) 715-4111
Fax
(910) 715-4101
NPI assigned
Dec 11, 2007
Last updated
Dec 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Authorized official

Name
Mickey Foster
Title
Ceo
Phone
(910) 715-4473

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X NC Primary

Addresses

Primary practice location

35 Memorial Dr
Pinehurst, NC 28374-8708

Mailing address

PO Box 843427
Boston, MA 02284-3427
Phone (910) 715-4111

Other identifiers 3

IdentifierTypeStateIssuer
NPB284MedicaidSC
5908772MedicaidNC
020CXOtherNCBCBS

Other names 1

  • FIRSTHEALTH CARDIOVASCULAR AND THORACIC CENTER Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031108000016 NC Part B Supplier - Clinic/Group Practice 8820909377 Receives reassigned benefits from 183 practitioners
18 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Pinehurst, NC; Troy, NC; Sanford, NC; Rockingham, NC; Fayetteville, NC; Pembroke, NC; Raeford, NC

Other NPIs on the same Medicare enrollment 15

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 15

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733270400000",
    "number": "1104009323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 843427",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022843427",
            "telephone_number": "910-715-4111",
            "fax_number": "910-715-4101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 MEMORIAL DR",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283748708",
            "telephone_number": "910-715-4111",
            "fax_number": "910-715-4101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRSTHEALTH OF THE CAROLINAS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-11",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "MICKEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-715-4473"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NPB284",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5908772",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "020CX",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FIRSTHEALTH CARDIOVASCULAR AND THORACIC CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pinehurst, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.