Owen Drive Surgical Clini

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

OWEN DRIVE SURGICAL CLINI

Practice address

2414 Hope Mills Rd
Fayetteville, NC 28304-4264

Phone

(910) 484-2563

NPI assigned

Sep 3, 2008

Organization subpart

No

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

Authorized official

Name

Mithu Chaudhuri

Title

Ownder

Phone

(910) 484-0101

Specialties & licenses 1

Addresses

Other names 1

• Cumberland Family Practice Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Debi P Chaudhuri, M.D.

  • Surgery Physician
  • Fayetteville, NC
  • NPI 1356304562
  NPD (past)

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220400000000",
    "number": "1841448990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1617 OWEN DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2414 HOPE MILLS RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044264",
            "telephone_number": "910-484-2563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OWEN DRIVE SURGICAL CLINI",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-03",
        "last_updated": "2008-09-03",
        "status": "A",
        "authorized_official_last_name": "CHAUDHURI",
        "authorized_official_first_name": "MITHU",
        "authorized_official_title_or_position": "OWNDER",
        "authorized_official_telephone_number": "910-484-0101"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cumberland Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Our House Inc.
• Brianna Destiny Outlaw
• Outreach Community Services
• Outreach Community Services
• Oversight Community Services
• Owen Drive Surgical Clinic of Fayetteville PLLC
• Owen Drive Surgical Clinic, PA
• Owen Park Pediatrics, PA
• Melissa Owen, LAT, ATC
• Adara Owens

• General Practice Physician in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• General Practice Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2008; 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.