Northside Primary & Urgent Care

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

00034310 Issued in NC

Legal business name

NORTHSIDE PRIMARY & URGENT CARE

Practice address

5397 Ramsey St
Fayetteville, NC 28311-1417

Phone

(910) 488-9011

Fax

(910) 488-9057

NPI assigned

Jun 29, 2016

Last updated

Sep 2, 2016By 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

Selvaratnam Sinna, MD

Title

Managing Member

Phone

(910) 308-0196

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Matthew Amiebi Daka, M.D

  • Interventional Cardiology Physician
  • Fayetteville, NC
  • NPI 1598985715
  NPD (past)

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

{
    "created_epoch": "1467158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472774400000",
    "number": "1598116642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 87064",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283047064",
            "telephone_number": "910-488-9011",
            "fax_number": "910-488-9057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5397 RAMSEY ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283111417",
            "telephone_number": "910-488-9011",
            "fax_number": "910-488-9057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSIDE PRIMARY & URGENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-29",
        "last_updated": "2016-09-02",
        "status": "A",
        "authorized_official_last_name": "SINNA",
        "authorized_official_first_name": "SELVARATNAM",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "910-308-0196",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "00034310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Carolina Psych Services PLLC
• North Fourth Counseling and Psycological Services Group, PLLC
• Northland Hearing Center, Inc. (Audibel)
• Madison Northrop
• Northside Family Eye Care Optometry, PA
• Northside Urgent Care, Inc. (Northside Urgent Care)
• Northwood Medical Center, P.a.
• Edgar Curtis Norwood I, LCSW
• Sierra Norwood
• Nova Family Life Services

• Internal Medicine Physician in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2016; 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.