Active NPI
Ian Ward, PA-C
- Physician Assistant
- Fayetteville, NC
National Provider Identifier
1831510882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-04661
- Practice address
- 3425 Melrose Rd
Fayetteville, NC 28304-1608 - Phone
- (910) 615-3700
- NPI assigned
- Dec 18, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0010-04661 | NC | Primary |
Addresses
Primary practice location
3425 Melrose Rd
Fayetteville, NC 28304-1608
Mailing address
102 Strawthorne CT
Apex, NC 27502-6405
Phone (919) 924-6657
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0010-04661 | Other | NC | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0010-04661 | NC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fastmed Urgent Care PC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Urgent Care Clinic/Center
- Raleigh, NC
- NPI 1225331903
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1387324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447804800000",
"number": "1831510882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 STRAWTHORNE CT",
"city": "APEX",
"state": "NC",
"postal_code": "275026405",
"telephone_number": "919-924-6657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3425 MELROSE RD",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283041608",
"telephone_number": "910-615-3700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARD",
"first_name": "IAN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-12-18",
"last_updated": "2015-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-04661",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "0010-04661",
"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 Nov 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.