Cumberland County Hospital System Inc
Organization Active NPI Hospitalist Physician · Dunn, NC
NPI 1124426804 · NPPES record last updated Dec 26, 2023
Key facts
- NPI
- 1124426804
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Hospitalist Physician 208M00000X
- Legal business name
- CUMBERLAND COUNTY HOSPITAL SYSTEM INC
- Practice address
- 800 Tilghman Dr
Dunn, NC 28334-5510 - Phone
- (910) 892-7161
- Fax
- (910) 694-1314
- NPI assigned
- Dec 12, 2014
- Organization subpart
- No
Authorized official
- Name
- Joseph B Fiser
- Title
- VP Managed Care and Revenue Cycle
- Phone
- (910) 615-5572
Practitioners 150
-
Tasrif Ahmed, M.D.
-
Fadi Asfahan, MD
-
Cheryl Nicole Fisher, FNP, PMHNP
-
Raghavender Gotur, M.D.
-
Aruna Gouru, M.D.
-
Bo Jiang, M.D.
-
Ryan Paul Juneau, DO
-
Mustafa Kareem, MD
-
Nancy Lynn Kerr, CRNA
-
Salman Ali Khan, MD
-
Jaisheela Kondru, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
Locations
3308 Melrose Rd
Fayetteville, NC 28304
Phone (910) 484-3114
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician |
208M00000X | Yes |
Addresses
Primary practice location
800 Tilghman Dr
Dunn, NC 28334-5510
Mailing address
PO Box 40908
Attn: Managed Care Planning
Fayetteville, NC 28309-0908
Phone (910) 615-6949
Other practice location 1
215 Brightwater Dr
Lillington, NC 27546-5156
Phone (910) 892-1000
Other names
- CFV-Harnett Hospitalist Group
Other providers in Dunn, NC
- Sallie Elliott Corse
- Gwendolyn Christanne Coxum
- Ryan Craddock
- Jacqueline Ann Crete
- Melanie G Crumpler
- Cumberland County Hospital System Inc
- Cumberland County Hospital System Inc
- Christopher Steven Custer
- Evelyn Hope Dail
- Karen Joy Dapuyen
All providers in Dunn, NC · Hospitalist Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 26, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.