Sandhills Heart Surgery PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

111444 Issued in NC

Legal business name

SANDHILLS HEART SURGERY PA

Practice address

3419 Melrose Road
A
Fayetteville, NC 28304-1608

Phone

(910) 323-9922

Fax

(910) 323-9501

NPI assigned

Jan 26, 2007

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, MD

Title

Heart Surgeon

Phone

(910) 323-9922

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295881068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3419 MELROSE ROAD",
            "address_2": "A",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283041608",
            "telephone_number": "910-323-9922",
            "fax_number": "910-323-9501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3419 MELROSE ROAD",
            "address_2": "A",
            "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": "2007-01-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FIETSAM",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "HEART SURGEON",
        "authorized_official_telephone_number": "910-323-9922",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NC",
            "license": "111444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8931917",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• 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 Physician of Mental Health Clinic, PLLC
• Sandhills Womancare PA

• Specialist in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Specialist 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.