Active NPI
Cape Fear Pulmonary Associates,P.a.
- Pulmonary Disease Physician
- Fayetteville, NC
National Provider Identifier
1972667368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- Legal business name
- CAPE FEAR PULMONARY ASSOCIATES,P.A.
- Practice address
- 1201 Walter Reed Rd
Fayetteville, NC 28304-4437 - Phone
- (910) 323-4733
- Fax
- (910) 323-2097
- NPI assigned
- Dec 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jayesh B Dave, M.D.
- Title
- President
- Phone
- (910) 323-4733
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | |||
| Pulmonary Disease Physician | 207RP1001X | Primary |
Addresses
Primary practice location
1201 Walter Reed Rd
Fayetteville, NC 28304-4437
Mailing address
1201 Walter Reed Rd
Fayetteville, NC 28304-4437
Phone (910) 323-4733
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01715 | Other | NC | BLUE CROSS GROUP # |
| 8901715 | Medicaid | NC |
Other names 1
- jayesh b dave,m.d.,p.a.
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166572800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1277769600000",
"number": "1972667368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 WALTER REED RD",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283044437",
"telephone_number": "910-323-4733",
"fax_number": "910-323-2097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 WALTER REED RD",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283044437",
"telephone_number": "910-323-4733",
"fax_number": "910-323-2097"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAPE FEAR PULMONARY ASSOCIATES,P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-20",
"last_updated": "2010-06-29",
"status": "A",
"authorized_official_last_name": "DAVE",
"authorized_official_first_name": "JAYESH",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "910-323-4733",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Critical Care Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS GROUP #",
"identifier": "01715",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8901715",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "jayesh b dave,m.d.,p.a.",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Fayetteville, NC
- Cape Fear Orthotics & Prosthetics, Inc.
- Cape Fear Pediatric Speech Therapy Services
- Cape Fear Physical Medicine and
- Cape Fear Plastic Surgery PA
- Cape Fear Podiatry Associates, PA
- Cape Fear Regional Bureau for Community Action Inc
- Cape Fear Regional Urological
- Cape Fear Valley Chiropractic Group, PC
- Cape Fear Valley Health Medical Group LLC
- Cape Fear Valley Health Medical Group LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.