Ferncreek Cardiology PA

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

2007-00976 Issued in NC

Legal business name

FERNCREEK CARDIOLOGY PA

Practice address

3650 Cape Center Dr
Fayetteville, NC 28304-2139

Phone

(910) 483-0049

Fax

(910) 339-8905

NPI assigned

May 5, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Matthew A Daka, MD, FACC, FSCAINPI 1598985715

Title

President

Phone

(910) 483-0049

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FJEJAA

Practitioners 5

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

• Matthew Amiebi Daka, M.D

  • Interventional Cardiology Physician
  • Fayetteville, NC
  • NPI 1598985715

  Cardiovascular Disease

  Medicare reassignment Care Compare group NPD Authorized official
• Selvaratnam Sinna, M.D.

  • Cardiovascular Disease Physician
  • Fayetteville, NC
  • NPI 1811929920
  Medicare reassignment Care Compare group NPD
• William Gainey Morrozoff Jr., FNP-BC

  • Family Nurse Practitioner
  • Parkton, NC
  • NPI 1437156767
  Medicare reassignment NPD
• Andrea Taylor, PA

  • Physician Assistant
  • Fayetteville, NC
  • NPI 1205671914
  Medicare reassignment NPD
• Manesh Thomas, MD

  • Interventional Cardiology Physician
  • Fayetteville, NC
  • NPI 1962460550

  Cardiovascular Disease

  Medicare reassignment NPD

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

{
    "created_epoch": "1273017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466380800000",
    "number": "1104144914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 CAPE CENTER DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283042139",
            "telephone_number": "910-483-0049",
            "fax_number": "910-339-8905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 CAPE CENTER DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283042139",
            "telephone_number": "910-483-0049",
            "fax_number": "910-339-8905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERNCREEK CARDIOLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-05",
        "last_updated": "2016-06-20",
        "status": "A",
        "authorized_official_last_name": "DAKA",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-483-0049",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, FACC, FSCAI"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NC",
            "license": "2007-00976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Kalmer Ferguson, OTR/L, CHT
• Sharonda Nisha Ferguson, LCMHC,BCBA,LBA
• Kathryn Fernandez-Shapiro
• Annette Maria Fernandez, M.ED
• Gabriel I Fernandez, MD
• Ferncreek Primary Care, PC
• Kenneth Ferrato, MD
• Mark Jordan Ferrell
• Jessica Elizabeth Ferrence, LCMHC, NCC
• Dianna Nichole Ferro, PT, DPT

• Cardiovascular Disease Physician in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Cardiovascular Disease Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.