Calvary Pediatrics

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

CALVARY PEDIATRICS

Practice address

509 Sandhurst Dr
Fayetteville, NC 28304-4433

Phone

(910) 484-4233

Fax

(910) 484-2990

NPI assigned

Jul 12, 2012

Last updated

Jun 25, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Love Osaze Asemota

Title

Office Manager

Phone

(910) 484-4233

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

Tax ID family

Calvary Pediatrics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Sunshine Pediatrics

  • Pediatrics Physician
  • Fayetteville, NC
  • NPI 1144508698
  NPD tax ID

Locations

Practitioners 6

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.

• Ogiemwonyi Elekhuoba Asemota, M.D

  • Pediatrics Physician
  • Fayetteville, NC
  • NPI 1902912397
  NPD (past)
• Cassidy Jade Filipiak

  • Physician Assistant
  • Fayetteville, NC
  • NPI 1497628697
  NPD (past)
• Adeola Adetola Akinlonu, MD

  • Pediatrics Physician
  • Louisville, CO
  • NPI 1386031284
  NPD (past)
• Brittany Mae Jaisankar, APRN

  • Critical Care Pediatric Nurse Practitioner
  • San Antonio, TX
  • NPI 1134862774
  NPD (past)
• Katie Jean Poole, DNP, CPNP-PC

  • Pediatric Nurse Practitioner
  • Flint, MI
  • NPI 1144466921
  NPD (past)
• Sujithra Velayuthan, MD

  • Pediatric Gastroenterology Physician
  • Cleveland, OH
  • NPI 1730468208

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1342051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593043200000",
    "number": "1285999458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 SANDHURST DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044433",
            "telephone_number": "910-484-4233",
            "fax_number": "910-484-2990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 SANDHURST DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044433",
            "telephone_number": "910-484-4233",
            "fax_number": "910-484-2990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALVARY PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-12",
        "last_updated": "2020-06-25",
        "certification_date": "2020-06-25",
        "status": "A",
        "authorized_official_last_name": "ASEMOTA",
        "authorized_official_first_name": "LOVE",
        "authorized_official_middle_name": "OSAZE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "910-484-4233"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Jean Call, LPTA
• Ashley Ellsworth Call, MD
• Heather S Callihan
• Tyrrell Callwood, M.ED.
• Calming Earth Collective PLLC
• Cameron & Roman PLLC
• Alizedrain Shyke Cameron, LCSWA
• Clifton Smith Cameron, DDS
• Hugh Scott Cameron, MD
• Britney Campbell

• Pediatrics Physician in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Pediatrics Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.