Organization Active NPI

Cumberland Cardiology, P.a.

  • Interventional Cardiology Physician
  • Fayetteville, NC
National Provider Identifier
1386827574
Registry record updated Dec 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
2006-1668 Issued in NC
Legal business name
CUMBERLAND CARDIOLOGY, P.A.
Practice address
909 S McPherson Church Rd
Fayetteville, NC 28303-5350
Phone
(910) 323-0065
Fax
(910) 323-0071
NPI assigned
Dec 11, 2007
Last updated
Dec 11, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2007

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

Authorized official

Name
Dr. Sylvester Uchenna Ejeh, MDNPI 1639186240
Title
President
Phone
(910) 323-0065

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 2006-1668 NC Primary

Addresses

Primary practice location

909 S McPherson Church Rd
Fayetteville, NC 28303-5350

Mailing address

909 S McPherson Church Rd
Fayetteville, NC 28303-5350
Phone (910) 323-0065

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080219000435 NC Part B Supplier - Clinic/Group Practice 5890878581 Receives reassigned benefits from 7 practitioners
Practice locations: Fayetteville, NC

National Provider Directory

National Provider Directory

Locations

3505 Village Dr
Fayetteville, NC 28304
Phone (910) 323-0065

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197331200000",
    "number": "1386827574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 S MCPHERSON CHURCH RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283035350",
            "telephone_number": "910-323-0065",
            "fax_number": "910-323-0071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 S MCPHERSON CHURCH RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283035350",
            "telephone_number": "910-323-0065",
            "fax_number": "910-323-0071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUMBERLAND CARDIOLOGY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-11",
        "last_updated": "2007-12-11",
        "status": "A",
        "authorized_official_last_name": "EJEH",
        "authorized_official_first_name": "SYLVESTER",
        "authorized_official_middle_name": "UCHENNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-323-0065",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NC",
            "license": "2006-1668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.