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

Active since April 02, 2026
1638 OWEN DR, FAYETTEVILLE, NC 28304(910) 672-0350(910) 672-0355 Get Directions Write a Review

NPPES record last updated: April 8, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 8, 2026, Apr 2, 2026 (2 updates tracked since 2026).

About Cape Fear Valley Health Medical Group Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAPE FEAR VALLEY HEALTH MEDICAL GROUP LLC (NPI 1104767508), doing business as Cape Fear Valley Medical Center-cardiovascular & Thoracic Surgery Clinic, is a healthcare organization registered as a thoracic surgery (cardiothoracic vascular surgery) in Fayetteville, North Carolina and active in the NPI registry since April 2026. The organization lists Joseph Barton Fiser, Vp Managed Care/revenue Cycle, as its authorized official.

NPPES Registry Identity

NPI1104767508
Entity TypeOrganization
Primary Taxonomy208G00000X
Legal Business NameCAPE FEAR VALLEY HEALTH MEDICAL GROUP LLC
Location Address1638 OWEN DRFayetteville, NC 28304-3424
Mailing AddressPo Box 40908Fayetteville, NC 28309-0908 · (910) 615-6949
Phone(910) 672-0350
Fax(910) 672-0355
Organization SubpartYesParent: Cumberland County Hospital System Inc
Authorized OfficialJoseph Barton FiserVp Managed Care/revenue Cycle · (910) 615-5572
Enumeration DateApril 2, 2026
Last NPPES UpdateApril 8, 20262 updates tracked since enumeration
NPPES CertifiedApril 8, 2026
✔ NPI 1104767508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
Definition
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.
1638 OWEN DR, Fayetteville, NC 28304
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Other Names 1

Doing Business AsCape Fear Valley Medical Center-cardiovascular & Thoracic Surgery Clinic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEATHER MCPHAIL COAXUM NP
Nurse Practitioner (Family)
1638 OWEN DR
FAYETTEVILLE, NC 28304
Cumberland County (910) 615-5680
CAPE FEAR VALLEY MEDICAL CENTER
Pharmacist
1638 OWEN DR
FAYETTEVILLE, NC 28304
Cumberland County (910) 615-7968
WENDY LYNN BROCK NNP
Nurse Practitioner
1638 OWEN DR
FAYETTEVILLE, NC 28304
Cumberland County (910) 615-5490
ABHISHEK GOEL MD
Hospitalist
1638 OWEN DR
FAYETTEVILLE, NC 28304
Cumberland County (910) 615-3960
LAUREN WOHLRAB
Student in an Organized Health Care Education/Training Program
1638 OWEN DR
FAYETTEVILLE, NC 28304
Cumberland County (910) 609-5000
JINGCHUAN WANG MD
Pathology (Anatomic Pathology & Clinical Pathology)
1638 OWEN DR
FAYETTEVILLE, NC 28304
Cumberland County (910) 615-4000
KENNETH RUSSELL MANNING M.D.
Internal Medicine (Medical Oncology)
1638 OWEN DR
FAYETTEVILLE, NC 28304
Cumberland County (910) 609-6910
CUMBERLAND COUNTY HOSPITAL SYSTEM, INC
Surgery (Trauma Surgery)
1638 OWEN DR
FAYETTEVILLE, NC 28304
Cumberland County (910) 615-8000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cape Fear Valley Health Medical Group LLC's NPI number?

The NPI number for Cape Fear Valley Health Medical Group LLC is 1104767508. It was assigned to this organization in the NPPES registry on April 2, 2026. The provider is doing business as Cape Fear Valley Medical Center-Cardiovascular & Thoracic Surgery Clinic.

Where is Cape Fear Valley Health Medical Group LLC located?

Cape Fear Valley Health Medical Group LLC is located at 1638 Owen Dr, Fayetteville, NC 28304. The listed phone number is (910) 672-0350.

What is Cape Fear Valley Health Medical Group LLC's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

When was this NPI record last updated?

The NPPES record for Cape Fear Valley Health Medical Group LLC was last updated on April 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.