Organization Active NPI

Highland Neurology Center PA

  • Neurology Physician
  • Fayetteville, NC
National Provider Identifier
1609918648
Registry record updated Feb 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
20341 Issued in NC
Legal business name
HIGHLAND NEUROLOGY CENTER PA
Practice address
3645 Cape Center Dr
Fayetteville, NC 28304-4457
Phone
(910) 483-9200
Fax
(910) 483-5678
NPI assigned
Feb 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2009

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

Authorized official

Name
Dr. Richard Doro Serano, MD
Title
President
Phone
(910) 483-9200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 20341 NC Primary

Addresses

Primary practice location

3645 Cape Center Dr
Fayetteville, NC 28304-4457

Mailing address

3645 Cape Center Dr
Fayetteville, NC 28304-4457
Phone (910) 483-9200

Other identifiers 1

IdentifierTypeStateIssuer
890130JMedicaidNC

National Provider Directory

National Provider Directory

Locations

3645 Cape Center Dr
Fayetteville, NC 28304
Phone (910) 339-8475

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22752/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235433600000",
    "number": "1609918648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3645 CAPE CENTER DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044457",
            "telephone_number": "910-483-9200",
            "fax_number": "910-483-5678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3645 CAPE CENTER DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044457",
            "telephone_number": "910-483-9200",
            "fax_number": "910-483-5678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLAND NEUROLOGY CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2009-02-24",
        "status": "A",
        "authorized_official_last_name": "SERANO",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "DORO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-483-9200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NC",
            "license": "20341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890130J",
            "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 Feb 24, 2009; 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.