CAPE FEAR VALLEY HEALTH MEDICAL GROUP LLC
NPI 1104767508
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Fayetteville, NC

NPI Status: Active since April 02, 2026

Contact Information

1638 OWEN DR
FAYETTEVILLE, NC
ZIP 28304
Phone: (910) 672-0350
Fax: (910) 672-0355

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About CAPE FEAR VALLEY HEALTH MEDICAL GROUP LLC

This page provides the complete NPI Profile along with additional information for Cape Fear Valley Health Medical Group Llc, a provider established in Fayetteville, North Carolina operating as a Thoracic Surgery (cardiothoracic Vascular Surgery). The healthcare provider is registered in the NPI registry with number 1104767508 assigned on April 2026. The practitioner's primary taxonomy code is 208G00000X. The provider is registered as an organization and their NPI record was last updated April 2026. Cape Fear Valley Health Medical Group Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Joseph Barton Fiser (Vp Managed Care/revenue Cycle)

NPI
1104767508
Provider Name
CAPE FEAR VALLEY HEALTH MEDICAL GROUP LLC
Entity Type
Organization
Location Address
1638 OWEN DR FAYETTEVILLE, NC 28304
Location Phone
(910) 672-0350
Location Fax
(910) 672-0355
Mailing Address
PO BOX 40908 FAYETTEVILLE, NC 28309
Mailing Phone
(910) 615-6949
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
04-02-2026
Last Update Date
04-08-2026
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Thoracic Surgery (Cardiothoracic Vascular Surgery)

Taxonomy Code
208G00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JOSEPH BARTON FISER

Authorized Official Title
VP MANAGED CARE/REVENUE CYCLE
Authorized Official Phone
(910) 615-5572

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1104767508, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
0
Doubled → 0
Pos 4
4
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
6
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
5
Unchanged
Pos 9
0
Doubled → 0
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 7 → 14 → 5 7 → 14 → 5 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 0 + 4 + 1 + 4 + 6 + 1 + 4 + 5 + 0 + 24 = 52

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 52 is 60. The difference is the calculated check digit.

60 - 52 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1104767508.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Physician Assistant
1638 OWEN DR
FAYETTEVILLE, NC 28304
Internal Medicine
1638 OWEN DR
FAYETTEVILLE, NC 28304
Emergency Medicine
1638 OWEN DR
FAYETTEVILLE, NC 28304
Family Medicine
1638 OWEN DR
FAYETTEVILLE, NC 28304
Nurse Anesthetist, Certified Registered
1638 OWEN DR
FAYETTEVILLE, NC 28304
Nurse Anesthetist, Certified Registered
1638 OWEN DR
FAYETTEVILLE, NC 28304
Nurse Anesthetist, Certified Registered
1638 OWEN DR
FAYETTEVILLE, NC 28304
Emergency Medicine
1638 OWEN DR
FAYETTEVILLE, NC 28304
Nurse Anesthetist, Certified Registered
1638 OWEN DR
FAYETTEVILLE, NC 28304
Nurse Anesthetist, Certified Registered
1638 OWEN DR
FAYETTEVILLE, NC 28304
Nurse Anesthetist, Certified Registered
1638 OWEN DR
FAYETTEVILLE, NC 28304
Emergency Medicine
1638 OWEN DR
FAYETTEVILLE, NC 28304
Emergency Medicine
1638 OWEN DR
FAYETTEVILLE, NC 28304
Nurse Anesthetist, Certified Registered
1638 OWEN DR
FAYETTEVILLE, NC 28304
Emergency Medicine
1638 OWEN DR
FAYETTEVILLE, NC 28304
Nurse Anesthetist, Certified Registered
1638 OWEN DR
FAYETTEVILLE, NC 28304
Emergency Medicine
1638 OWEN DR
FAYETTEVILLE, NC 28304
Radiology (Radiation Oncology)
1638 OWEN DR
FAYETTEVILLE, NC 28304
Physician Assistant
1638 OWEN DR
FAYETTEVILLE, NC 28304
Internal Medicine
1638 OWEN DR
FAYETTEVILLE, NC 28304

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104767508, enumerated as an "organization" on April 02, 2026.

The provider is located at 1638 OWEN DR FAYETTEVILLE, NC 28304 and the phone number is (910) 672-0350.

Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.