NPIMap

Organization Active NPI

Cumberland County Hospital System Inc

Doing business as Cape Fear Valley Podiatry

  • Podiatrist
  • Fayetteville, NC
National Provider Identifier
1104327709
Registry record updated Nov 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
CUMBERLAND COUNTY HOSPITAL SYSTEM INC
Doing business as
Cape Fear Valley Podiatry
Practice address
1738 Metromedical Dr
Fayetteville, NC 28304-3861
Phone
(910) 484-4191
Fax
(910) 484-5546
NPI assigned
Feb 28, 2018
Last updated
Nov 24, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2024

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

Authorized official

Name
Joseph Barton Fiser
Title
VP Corporate Revenue Cycle
Phone
(910) 615-5572

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Foot and Ankle Surgery Physician 207XX0004X
Podiatrist 213E00000X Primary
Foot & Ankle Surgery Podiatrist 213ES0103X

Addresses

Primary practice location

1738 Metromedical Dr
Fayetteville, NC 28304-3861

Mailing address

PO Box 40908
Fayetteville, NC 28309-0908
Phone (910) 615-6949

Other practice location 1

145 Tilghman Dr Ste 400
Dunn, NC 28334-4865
Phone (910) 892-1107

Other practice location 2

588 Bailey Rd Ste E
Lumberton, NC 28358-2470
Phone (910) 484-4191

Other practice location 3

225 Brightwater Dr Ste 200
Lillington, NC 27546-5156
Phone (910) 892-1107

Other practice location 4

716 S 10th St
Lillington, NC 27546-5615
Phone (910) 892-1107

Other practice location 5

185 Rawls Rd
Angier, NC 27501-8539
Phone (910) 892-1107

Other practice location 6

1535 N Raleigh St
Angier, NC 27501-8920
Phone (910) 892-1107

Other names 1

  • Cape Fear Valley Podiatry Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031112000693 NC Part B Supplier - Clinic/Group Practice 1850204041 Receives reassigned benefits from 1,012 practitioners
This NPI is an additional NPI on the enrollment
Practice locations: Fayetteville, NC; Lillington, NC; Lumberton, NC; Raeford, NC; Red Springs, NC; Spring Lake, NC; Stedman, NC; Angier, NC…

National Provider Directory

National Provider Directory
Tax ID family
Melrose Pediatric Care50 organizations share this tax ID, including this one

Other organizations with this tax ID 49

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

View all 49

Locations

185 Rawls Rd
Angier, NC 27501
Phone (919) 331-2477

225 Brightwater Dr
Ste 200
Lillington, NC 27546
Phone (910) 892-1107

Practitioners & affiliated clinicians

Practitioners 11

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": "1519776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732406400000",
    "number": "1104327709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40908",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283090908",
            "telephone_number": "910-615-6949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1738 METROMEDICAL DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043861",
            "telephone_number": "910-484-4191",
            "fax_number": "910-484-5546"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "145 Tilghman Dr Ste 400",
            "address_purpose": "LOCATION",
            "city": "Dunn",
            "state": "NC",
            "postal_code": "283344865",
            "country_code": "US",
            "telephone_number": "910-892-1107",
            "fax_number": "910-892-1385",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "588 Bailey Rd Ste E",
            "address_purpose": "LOCATION",
            "city": "Lumberton",
            "state": "NC",
            "postal_code": "283582470",
            "country_code": "US",
            "telephone_number": "910-484-4191",
            "fax_number": "843-484-5546",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "225 Brightwater Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Lillington",
            "state": "NC",
            "postal_code": "275465156",
            "country_code": "US",
            "telephone_number": "910-892-1107",
            "fax_number": "910-892-1385",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "716 S 10th St",
            "address_purpose": "LOCATION",
            "city": "Lillington",
            "state": "NC",
            "postal_code": "275465615",
            "country_code": "US",
            "telephone_number": "910-892-1107",
            "fax_number": "910-892-1385",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "185 Rawls Rd",
            "address_purpose": "LOCATION",
            "city": "Angier",
            "state": "NC",
            "postal_code": "275018539",
            "country_code": "US",
            "telephone_number": "910-892-1107",
            "fax_number": "910-892-1385",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1535 N Raleigh St",
            "address_purpose": "LOCATION",
            "city": "Angier",
            "state": "NC",
            "postal_code": "275018920",
            "country_code": "US",
            "telephone_number": "910-892-1107",
            "fax_number": "910-892-1385",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CUMBERLAND COUNTY HOSPITAL SYSTEM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-28",
        "last_updated": "2024-11-24",
        "certification_date": "2024-11-24",
        "status": "A",
        "authorized_official_last_name": "FISER",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "BARTON",
        "authorized_official_title_or_position": "VP CORPORATE REVENUE CYCLE",
        "authorized_official_telephone_number": "910-615-5572"
    },
    "taxonomies": [
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cape Fear Valley Podiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.