DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: CAPE FEAR VALLEY HEALTH MEDICAL GROUP LLC

MEDICARE: CAPE FEAR VALLEY HEALTH MEDICAL GROUP LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12083P0011XUndersea and Hyperbaric Medicine (Preventive Medicine) Physician
2208600000XSurgery Physician

General Provider Information

NPI Number : 1699632802
Entity Type Code : Organization
Provider Name (Legal Business Name) : CAPE FEAR VALLEY HEALTH MEDICAL GROUP LLC
Provider Business Mailing Address
First Line : PO BOX 40908
Second Line :
City : FAYETTEVILLE
State : NC
Zip : 28309-0908
Country : US
Telephone Number : 910-615-6949
Fax Number :
Provider Business Practice Location Address
First Line : 1638 OWEN DR
Second Line :
City : FAYETTEVILLE
State : NC
Zip : 28304-3424
Country : US
Telephone Number : 910-615-1826
Fax Number : 910-321-6293
Authorized Official
Title or Position : VP MANAGED CARE/REVENUE CYCLE
Name : JOSEPH BARTON FISER
Credential :
Telephone Number : 910-615-5572
Provider Enumeration Date : 01/08/2026
Last Update Date : 01/09/2026

Similar Medicare Providers

1407598170 — SHARVARI ADAMS DO
Practice Location Address:
1638 OWEN DR
FAYETTEVILLE, NC
28304-3424
Practice Phone: 910-615-3500
Practice Fax:
1710846431 — ELIZABETH KRISTIN DAVIS PA-C
Practice Location Address:
1638 OWEN DR
FAYETTEVILLE, NC
28304-3424
Practice Phone: 910-615-4000
Practice Fax:
1861350084 — LADYSHA D HARRELL
Practice Location Address:
1638 OWEN DR
FAYETTEVILLE, NC
28304-3424
Practice Phone: 910-227-9427
Practice Fax:
1750597019 — DR. LARRY JOE MATURANI MD
Practice Location Address:
1638 OWEN DR
FAYETTEVILLE, NC
28304-3424
Practice Phone: 910-615-5680
Practice Fax:
1366089120 — VIGNESH SADRAS BALAGOPAL MD
Practice Location Address:
1638 OWEN DR
FAYETTEVILLE, NC
28304-3424
Practice Phone: 910-615-3333
Practice Fax:
1821091851 — CUMBERLAND COUNTY HOSPITAL SYSTEM INC
Practice Location Address:
1638 OWEN DR
FAYETTEVILLE, NC
28304-3424
Practice Phone: 910-609-6440
Practice Fax: 910-609-5365

Directions to “CAPE FEAR VALLEY HEALTH MEDICAL GROUP LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.