Organization Active NPI

Cape Fear Plastic Surgery PA

  • Plastic Surgery Physician
  • Fayetteville, NC
National Provider Identifier
1760527220
Registry record updated Oct 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
CAPE FEAR PLASTIC SURGERY PA
Practice address
516 Beaumont Rd
Fayetteville, NC 28304-4443
Phone
(910) 486-9093
Fax
(910) 486-9048
NPI assigned
Feb 21, 2007
Last updated
Oct 16, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2007

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

Authorized official

Name
Dr. Stephen Mitchell Herring, MDNPI 1255498887
Title
Physician President
Phone
(910) 486-9093

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X NU Primary

Addresses

Primary practice location

516 Beaumont Rd
Fayetteville, NC 28304-4443

Mailing address

PO Box 53726
Fayetteville, NC 28305-3726
Phone (910) 486-9093

Other identifiers 2

IdentifierTypeStateIssuer
0186MOtherNCBCBS
890186MMedicaidNC

National Provider Directory

National Provider Directory

Locations

516 Beaumont Rd
Fayetteville, NC 28304
Phone (910) 486-9093

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192492800000",
    "number": "1760527220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 53726",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283053726",
            "telephone_number": "910-486-9093",
            "fax_number": "910-486-9048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 BEAUMONT RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044443",
            "telephone_number": "910-486-9093",
            "fax_number": "910-486-9048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPE FEAR PLASTIC SURGERY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-10-16",
        "status": "A",
        "authorized_official_last_name": "HERRING",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "MITCHELL",
        "authorized_official_title_or_position": "PHYSICIAN PRESIDENT",
        "authorized_official_telephone_number": "910-486-9093",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0186M",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890186M",
            "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 Oct 16, 2007; 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.