Cape Fear Sports Medicine PA

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

35845 Issued in NC

Legal business name

CAPE FEAR SPORTS MEDICINE PA

Practice address

6019 Oleander Drive
Suite 200
Wilmington, NC 28403

Phone

(910) 790-9714

Fax

(910) 791-1063

NPI assigned

Jan 31, 2008

Organization subpart

No

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

Authorized official

Name

Dale Boyd Jr., MD

Title

President

Phone

(910) 790-9714

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412553600000",
    "number": "1861670929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6019 OLEANDER DRIVE",
            "address_2": "SUITE 200",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "28403",
            "telephone_number": "910-790-9714",
            "fax_number": "910-791-1063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6019 OLEANDER DRIVE",
            "address_2": "SUITE 200",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "28403",
            "telephone_number": "910-790-9714",
            "fax_number": "910-791-1063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPE FEAR SPORTS MEDICINE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-31",
        "last_updated": "2014-10-06",
        "status": "A",
        "authorized_official_last_name": "BOYD",
        "authorized_official_first_name": "DALE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-790-9714",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NC",
            "license": "35845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8917205",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cape Fear Public Transportation Authority
• Cape Fear Public Transportation Authority
• Cape Fear Rehabilitation Services, LLC
• Cape Fear Respicare, Inc.
• Cape Fear Retinal Associates PC
• Cape Med Express, LLC
• Cape Medical, Inc.
• Gail Marie Capel, MD
• Alexis Lankford Capell
• Capeside Addiction Care

• All providers in Wilmington, NC
• Sports Medicine (Orthopaedic Surgery) Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2014; 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.