Active NPI
Alfredo Benarroch
- Surgical Assistant
- Fayetteville, NC
National Provider Identifier
1932670569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 18-511
- Practice address
- 6809 Jacobs Creek Cir
Fayetteville, NC 28306-4562 - Phone
- (910) 494-2603
- NPI assigned
- Dec 7, 2018
- Last updated
- Dec 7, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 18-511 | IL | Primary |
Addresses
Primary practice location
6809 Jacobs Creek Cir
Fayetteville, NC 28306-4562
Mailing address
6809 Jacobs Creek Cir
Fayetteville, NC 28306-4562
Phone (910) 494-2603
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18-511 | IL | MD | Surgical Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544140800000",
"number": "1932670569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6809 JACOBS CREEK CIR",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283064562",
"telephone_number": "910-494-2603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6809 JACOBS CREEK CIR",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283064562",
"telephone_number": "910-494-2603"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENARROCH",
"first_name": "ALFREDO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-12-07",
"last_updated": "2018-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "IL",
"license": "18-511",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fayetteville, NC
- Valerie J Beltrane-Preston, PT
- Candice Joy Belus, FNP-C
- Karen Belvin, PA
- Ben C. Siy-Hian, MD, PA
- Casey Cathleen Kramper Benander, DPT
- Liliana Benavides
- Tabitha L. Benavidez, PT
- Benchmark Physical Therapy of NC, LLC
- Benchmark Physical Therapy of NC, LLC (BenchMark PT - Fayetteville)
- Jacqueline Paller Bender, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.