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Export Provider Record NPI 1104144914
Ferncreek Cardiology Pa
Organization Subpart: NO
Active
NPI Number1104144914
NPI TypeNPI-2 Organization
SpecialtyInternal Medicine, Cardiovascular Disease
Provider Details
NPI1104144914
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2010-05-05
Last Updated2016-06-20
Authorized OfficialMatthew Daka
President
Phone: 9104830049
Mailing Address3650 Cape Center Dr
Fayetteville, NC 28304-2139
United States
Phone: (910) 483-0049 | Fax: (910) 339-8905
📍 View Map
Primary Practice Address3650 Cape Center Dr
Fayetteville, NC 28304-2139
United States
Phone: (910) 483-0049 | Fax: (910) 339-8905
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes207RC0000X – Internal Medicine, Cardiovascular DiseaseNC2007-00976
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About NPI 1104144914

Ferncreek Cardiology Pa is an organization registered in the CMS NPPES NPI Registry with NPI number 1104144914. The primary specialty listed is Internal Medicine, Cardiovascular Disease. The organization is located in Fayetteville, NC. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2010-05-05. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1104144914?

NPI 1104144914 belongs to Ferncreek Cardiology Pa, a Internal Medicine, Cardiovascular Disease in Fayetteville, NC. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1104144914 active?

The current status of NPI 1104144914 in the NPPES registry is Active. The record was last updated on 2016-06-20.

What specialty is NPI 1104144914?

NPI 1104144914 is classified under the taxonomy Internal Medicine, Cardiovascular Disease. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1104144914?

You can verify NPI 1104144914 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1104144914?

The primary practice address on file for NPI 1104144914 is 3650 Cape Center Dr, Fayetteville, NC 28304-2139. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1104144914 issued?

NPI 1104144914 was first issued (enumerated) on 2010-05-05. The NPPES record was last updated on 2016-06-20.

Practice Location Map

Ferncreek Cardiology Pa is located at 3650 Cape Center Dr, Fayetteville, NC. Use the map below to find directions or verify the practice location.

📍 3650 Cape Center Dr, Fayetteville, NC 28304-2139  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Ferncreek Cardiology Pa. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1104144914. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Internal Medicine, Cardiovascular Disease2007-00976NC
Data Verified from CMS NPPES Last synced: 2026-06-25 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162