Organization Active NPI

Cape Fear Center for Medical Arts

  • Interventional Pain Medicine Physician
  • Wilmington, NC
National Provider Identifier
1417112053
Registry record updated Jul 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
CAPE FEAR CENTER FOR MEDICAL ARTS
Practice address
1222 Medical Center Dr
Wilmington, NC 28401-7332
Phone
(910) 343-0300
NPI assigned
Jul 23, 2008
Last updated
Jul 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2008

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

Authorized official

Name
Anthony O Russell, MD
Title
Physician
Phone
(910) 343-0300

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU
Interventional Pain Medicine Physician 208VP0014X NU Primary

Addresses

Primary practice location

1222 Medical Center Dr
Wilmington, NC 28401-7332

Mailing address

PO Box 15009
Wilmington, NC 28408-5009
Phone (910) 343-0300

National Provider Directory

National Provider Directory
Tax ID family
Cape Fear Center for Medical Arts2 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.

NPI Registry JSON

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

{
    "created_epoch": "1216771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216771200000",
    "number": "1417112053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15009",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284085009",
            "telephone_number": "910-343-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 MEDICAL CENTER DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017332",
            "telephone_number": "910-343-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPE FEAR CENTER FOR MEDICAL ARTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-23",
        "last_updated": "2008-07-23",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "910-343-0300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.