Fayetteville Hyperbarics LLC

Primary specialty

Other TechnicianTaxonomy code 247200000X

Legal business name

FAYETTEVILLE HYPERBARICS LLC

Practice address

3035 Boone Trail Ext Ste a
Fayetteville, NC 28304-3860

Phone

(910) 920-1165

Fax

(910) 425-5178

NPI assigned

Oct 23, 2012

Last updated

Mar 5, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Denise Mercado

Title

Ceo

Phone

(910) 920-1165

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1350950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362441600000",
    "number": "1518210962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3035 BOONE TRAIL EXT STE A",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043860",
            "telephone_number": "910-920-1165",
            "fax_number": "910-425-5178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3035 BOONE TRAIL EXT STE A",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043860",
            "telephone_number": "910-920-1165",
            "fax_number": "910-425-5178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAYETTEVILLE HYPERBARICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-23",
        "last_updated": "2013-03-05",
        "status": "A",
        "authorized_official_last_name": "MERCADO",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-920-1165",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Fayetteville Medical Clinic, PC
• Fayetteville NC Homecare LLC (Visiting Angels- Fayetteville, NC)

• Other Technician in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Other Technician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2013; 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.