Active NPI
Hematology & Oncology Associates of Fayetteville, P.a.
- Hematology & Oncology Physician
- Fayetteville, NC
National Provider Identifier
1528022126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 9900923
- Legal business name
- HEMATOLOGY & ONCOLOGY ASSOCIATES OF FAYETTEVILLE, P.A.
- Practice address
- 1638 Owen Dr
Fayetteville, NC 28304-3424 - Phone
- (910) 615-6910
- Fax
- (910) 615-5219
- NPI assigned
- Apr 12, 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
- Kamal Manubhai Bakri, M.D.
- Title
- President
- Phone
- (910) 615-6914
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 9900923 | NC | Primary |
| Medical Oncology Physician | 207RX0202X | 26183 | NC | |
| Medical Oncology Physician | 207RX0202X | 32779 | NC | |
| Family Nurse Practitioner | 363LF0000X | 200943 | NC |
Addresses
Primary practice location
1638 Owen Dr
Fayetteville, NC 28304-3424
Mailing address
PO Box 42935
Fayetteville, NC 28309-2935
Phone (910) 615-6910
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 890239Q | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Hematology & Oncology Physician
- Fayetteville, NC
- NPI 1487608725
-
- Hematology & Oncology Physician
- Fayetteville, NC
- NPI 1003870171
-
- Nurse Practitioner
- Fayetteville, NC
- NPI 1528163599
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144800000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1319673600000",
"number": "1528022126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 42935",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283092935",
"telephone_number": "910-615-6910",
"fax_number": "910-615-5219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1638 OWEN DR",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283043424",
"telephone_number": "910-615-6910",
"fax_number": "910-615-5219"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEMATOLOGY & ONCOLOGY ASSOCIATES OF FAYETTEVILLE, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-12",
"last_updated": "2011-10-27",
"status": "A",
"authorized_official_last_name": "BAKRI",
"authorized_official_first_name": "KAMAL",
"authorized_official_middle_name": "MANUBHAI",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "910-615-6914",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "NC",
"license": "9900923",
"primary": true
},
{
"code": "207RX0202X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Medical Oncology",
"state": "NC",
"license": "26183",
"primary": false
},
{
"code": "207RX0202X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Medical Oncology",
"state": "NC",
"license": "32779",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "200943",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "890239Q",
"state": "NC"
}
],
"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 Oct 27, 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.