Fayettevillevamc

Primary specialty

Long Term Care HospitalTaxonomy code 282E00000X

Legal business name

FAYETTEVILLEVAMC

Practice address

2300 Ramsey St
Fayetteville, NC 28301-3856

Phone

(910) 488-2120

NPI assigned

Mar 1, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Subarro Pemmaraju, MD

Title

Chief of LTC

Phone

(910) 488-2120

Specialties & licenses 1

Addresses

Tax ID family

Tara Littlejohn Gonzales MD - Arbor Pediatrics107 organizations share this tax ID, including this one

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720116684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 PULLEY PL",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277072436",
            "telephone_number": "919-493-7654",
            "fax_number": "919-489-6588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 RAMSEY ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283013856",
            "telephone_number": "910-488-2120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAYETTEVILLEVAMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PEMMARAJU",
        "authorized_official_first_name": "SUBARRO",
        "authorized_official_title_or_position": "CHIEF OF LTC",
        "authorized_official_telephone_number": "910-488-2120",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fayetteville Vamc
• Fayetteville Vamc
• Fayetteville Vascular and Vein Center, PA
• Fayetteville Woman'S Care
• Fayetteville Womans Care PA
• Max Henry Faykus Jr., M.D.
• David C Fazekas
• Amanda Lea Feagin, PSY.D.
• Frank A Fedele, MD
• Precious Feely

• All providers in Fayetteville, NC
• Long Term Care Hospital 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.