Organization Active NPI

Whiteville Cardiopulmonary Inc

  • Internal Medicine Physician
  • Whiteville, NC
National Provider Identifier
1639194574
Registry record updated May 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
WHITEVILLE CARDIOPULMONARY INC
Practice address
329 Jefferson St
Whiteville, NC 28472-3601
Phone
(910) 642-4711
Fax
(910) 642-3232
NPI assigned
Jul 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2014

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

Authorized official

Name
Shobha M Farias, M.D.
Title
Owner
Phone
(910) 642-4711

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

329 Jefferson St
Whiteville, NC 28472-3601

Mailing address

PO Box 1354
Whiteville, NC 28472-1354
Phone (910) 642-4711

Other identifiers 2

IdentifierTypeStateIssuer
8931148MedicaidNC
31148OtherNCBCBS OF NC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400544000000",
    "number": "1639194574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1354",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284721354",
            "telephone_number": "910-642-4711",
            "fax_number": "910-642-3232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 JEFFERSON ST",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284723601",
            "telephone_number": "910-642-4711",
            "fax_number": "910-642-3232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITEVILLE CARDIOPULMONARY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2014-05-20",
        "status": "A",
        "authorized_official_last_name": "FARIAS",
        "authorized_official_first_name": "SHOBHA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-642-4711",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8931148",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "31148",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Whiteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2014; 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.