Carmen Lauda Fadem, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

200101335 Issued in NC

Practice address

150 Fairway Dr
Rutherfordton, NC 28139-3208

Phone

(828) 288-6800

NPI assigned

Apr 28, 2008

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 28, 2008.

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209340800000",
    "number": "1366617664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 FAIRWAY DR",
            "city": "RUTHERFORDTON",
            "state": "NC",
            "postal_code": "281393208",
            "telephone_number": "828-288-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 FAIRWAY DR",
            "city": "RUTHERFORDTON",
            "state": "NC",
            "postal_code": "281393208",
            "telephone_number": "828-288-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FADEM",
        "first_name": "CARMEN",
        "middle_name": "LAUDA",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-28",
        "last_updated": "2008-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "200101335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Faith Primary Care Plus
• Family Preservation Services of North Carolina, Inc.
• Family Preservation Services of North Carolina, Inc.
• Family Preservation Services of North Carolina, LLC
• Family Preservation Services of North Carolina, LLC

• All providers in Rutherfordton, NC
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; 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.