Valley Infectious Disease Care

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

H0213 Issued in NC

Legal business name

VALLEY INFECTIOUS DISEASE CARE

Practice address

101 Robeson St Ste 300a
Fayetteville, NC 28301-5520

Phone

(910) 609-1282

Fax

(910) 609-1276

NPI assigned

Aug 22, 2005

Organization subpart

No

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

Authorized official

Name

Joseph B Fiser

Title

VP Managed Care and Revenue Cycle

Phone

(910) 615-5572

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Valley Infectious Disease Care Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 3

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

• Athar Hussain Tehsin, MD

  • Infectious Disease Physician
  • Fayetteville, NC
  • NPI 1477658250
  Medicare reassignment NPD
• Chukwuemeka Ogbonnaya Chima, MD

  • Infectious Disease Physician
  • Fayetteville, NC
  • NPI 1962494377
  NPD (past)
• Obiefuna Perry Okoye, M.D

  • Infectious Disease Physician
  • Lumberton, NC
  • NPI 1740234434
  NPD (past)

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705622400000",
    "number": "1891787222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40908",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283090908",
            "telephone_number": "910-615-6949",
            "fax_number": "910-615-9761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 ROBESON ST STE 300A",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283015520",
            "telephone_number": "910-609-1282",
            "fax_number": "910-609-1276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY INFECTIOUS DISEASE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-22",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A",
        "authorized_official_last_name": "FISER",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "VP MANAGED CARE AND REVENUE CYCLE",
        "authorized_official_telephone_number": "910-615-5572"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NC",
            "license": "H0213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89014T4",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Infectious Disease Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Valley Cardiology, PA
• Valley Care LLC
• Valley Discount Pharmacy Incorporated
• Valley Equipment & Medical Supplies
• Valley Eye Clinic, PLLC
• Valley Internal Medicine, Inc.
• Valley Medical Supplies, Inc
• Valley Physical Medicine PA
• Valley Physical Medicine, PLLC
• Valley Pines Adult Care

• Infectious Disease Physician in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Infectious Disease Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.