Active NPI
Cape Fear Podiatry Associates, PA
- Podiatrist
- Fayetteville, NC
National Provider Identifier
1316999527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- Legal business name
- CAPE FEAR PODIATRY ASSOCIATES, PA
- Practice address
- 1738 Metromedical Dr
Fayetteville, NC 28304-3861 - Phone
- (910) 484-4191
- Fax
- (910) 484-5546
- NPI assigned
- May 16, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sandra Sheehan, DPM
- Title
- DPM
- Phone
- (910) 484-4191
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | Primary |
Addresses
Primary practice location
1738 Metromedical Dr
Fayetteville, NC 28304-3861
Mailing address
1738 Metromedical Dr
Fayetteville, NC 28304-3861
Phone (910) 484-4191
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0107J | Other | NC | BCBS |
| 790107J | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
700 Tilghman Dr
Ste 712
Dunn, NC 28334
Phone (910) 897-6151
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1303257600000",
"number": "1316999527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"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"
},
{
"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": [],
"basic": {
"organization_name": "CAPE FEAR PODIATRY ASSOCIATES, PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-16",
"last_updated": "2011-04-20",
"status": "A",
"authorized_official_last_name": "SHEEHAN",
"authorized_official_first_name": "SANDRA",
"authorized_official_title_or_position": "DPM",
"authorized_official_telephone_number": "910-484-4191",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0107J",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "790107J",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, NC
- Cape Fear Orthopaedic Clinic, PA
- Cape Fear Orthotics & Prosthetics, Inc. (Cape Fear O&P)
- Cape Fear Pediatric Speech Therapy Services
- Cape Fear Physical Medicine and (Cape Fear Rehab)
- Cape Fear Plastic Surgery PA
- Cape Fear Pulmonary Associates,P.a.
- Cape Fear Regional Bureau for Community Action Inc
- Cape Fear Regional Urological
- Cape Fear Valley Chiropractic Group, PC
- Cape Fear Valley Health Medical Group LLC (Cape Fear Valley Fayetteville Heart Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.