Sandhills Heart Surgery PA

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

Legal business name

SANDHILLS HEART SURGERY PA

Practice address

3419A Melrose Rd
Fayetteville, NC 28304-1608

Phone

(910) 323-9922

Fax

(910) 323-9501

NPI assigned

Jun 4, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Robert Fietsam Jr., MDNPI 1518003623

Title

President

Phone

(910) 323-9922

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 4

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

• Robert Fietsam Jr., MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Kissimmee, FL
  • NPI 1518003623
  NPD (past) Authorized official
• Thomas John Antalik, MD

  • Surgery Physician
  • Roxboro, NC
  • NPI 1437119708
  NPD (past)
• Dianna C Martin, PHYSICIAN ASSISTANT

  • Surgical Physician Assistant
  • Round Rock, TX
  • NPI 1922115005
  NPD (past)
• S. Salman Ahmad Shah, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Franklin, TN
  • NPI 1174713457
  NPD (past)

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144268798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3193",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277153193",
            "telephone_number": "919-544-6318",
            "fax_number": "919-544-6336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3419A MELROSE RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283041608",
            "telephone_number": "910-323-9922",
            "fax_number": "910-323-9501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDHILLS HEART SURGERY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FIETSAM",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-323-9922",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5902973",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-NC GROUP",
            "identifier": "017RP",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leslie Elaine Sanders, LABA
• Taylor Sanders
• William Sanderson, MD
• Sandhills Consulting, LLC
• Sandhills Eye Care, OD, PA
• Sandhills Heart Surgery PA
• Sandhills Medical Care Center, PLLC
• Sandhills Nephrology and Internal Medicine, P.a.
• Sandhills Orthotics, LLC (Sandhills Orthotics & Prosthetics)
• Sandhills Physician of Mental Health Clinic, PLLC

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.