Carolina Neurosurgical Services, P.a.

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

CAROLINA NEUROSURGICAL SERVICES, P.A.

Practice address

3650 Cape Center Dr
Suite 100
Fayetteville, NC 28304-4406

Phone

(910) 484-9802

Fax

(910) 484-2342

NPI assigned

Sep 15, 2006

Last updated

Aug 22, 2020By 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

Bruce Jaufmann, M.D.NPI 1225134109

Title

President

Phone

(910) 484-9802

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 4

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.

• Bruce Jaufmann, M.D.

  • Neurological Surgery Physician
  • Pinehurst, NC
  • NPI 1225134109
  NPD (past) Authorized official
• Kim Eng Koo, M.D.

  • Neurological Surgery Physician
  • Rocky Mount, NC
  • NPI 1477659373

  Specialist

  NPD (past)
• Carol M Wadon, M.D.

  • Neurological Surgery Physician
  • Pinehurst, NC
  • NPI 1619073590
  NPD (past)
• Kevin Alton Vaught, MD

  • Neurological Surgery Physician
  • Fort Wayne, IN
  • NPI 1689623811
  NPD (past)

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649376898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 CAPE CENTER DR",
            "address_2": "SUITE 100",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044406",
            "telephone_number": "910-484-9802",
            "fax_number": "910-484-2342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 CAPE CENTER DR",
            "address_2": "SUITE 100",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044406",
            "telephone_number": "910-484-9802",
            "fax_number": "910-484-2342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA NEUROSURGICAL SERVICES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JAUFMANN",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-484-9802",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890229H",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0229H",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolina Imaging LLC of Fayetteville (Carolina Imaging-Ramsey)
• Carolina Kidney Care, PA
• Carolina Medical Specialties, Inc.
• Carolina Medical Supplies, Inc.
• Carolina Neurology Associates, PLLC
• Carolina Optical Partners (carolina optical shop sanford)
• Carolina Optical Partners (carolina optical shop)
• Carolina Outreach and Care
• Carolina Outreach, LLC
• Carolina Outreach, LLC

• Specialist in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.