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OWEN DRIVE SURGICAL CLINIC, PA
NPI 1922104066
Surgery in Fayetteville, NC

Active since September 16, 2006
1617 OWEN DR, FAYETTEVILLE, NC 28304(910) 484-0101(910) 484-2563 Get Directions Write a Review

NPPES record last updated: October 7, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Owen Drive Surgical Clinic, Pa NPPES

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

OWEN DRIVE SURGICAL CLINIC, PA (NPI 1922104066) is a healthcare organization registered as a surgery in Fayetteville, North Carolina and active in the NPI registry since September 2006. The organization lists Debi Chaudhuri, President, as its authorized official.

NPPES Registry Identity

NPI1922104066
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameOWEN DRIVE SURGICAL CLINIC, PA
Location Address1617 OWEN DRFayetteville, NC 28304-3425
Mailing AddressPo Box 1615Etowah, NC 28729-1615 · (910) 484-0101 · Fax (910) 484-2563
Phone(910) 484-0101
Fax(910) 484-2563
Organization SubpartNo
Authorized OfficialDebi ChaudhuriPresident · (910) 484-0101
Enumeration DateSeptember 16, 2006
Last NPPES UpdateOctober 7, 2009
✔ NPI 1922104066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1617 OWEN DR, Fayetteville, NC 28304
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Other Identifiers 4

Medicaid89-0255ANC
Medicare PINC13680NC
Medicare PIN2315289NC
Other0255ANC · Bcbs

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 2

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

DR. DEBI P CHAUDHURI M.D.
Surgery
1617 OWEN DR
FAYETTEVILLE, NC 28304
Cumberland County (910) 484-0101
ROSA ELENA RODRIGUEZ CORTES LCMHCA
Counselor (Mental Health)
1617 OWEN DR
FAYETTEVILLE, NC 28304
Cumberland County (910) 491-8934

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 Owen Drive Surgical Clinic, PA's NPI number?

The NPI number for Owen Drive Surgical Clinic, PA is 1922104066. It was assigned to this organization in the NPPES registry on September 16, 2006.

Where is Owen Drive Surgical Clinic, PA located?

Owen Drive Surgical Clinic, PA is located at 1617 Owen Dr, Fayetteville, NC 28304. The listed phone number is (910) 484-0101.

What is Owen Drive Surgical Clinic, PA's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Owen Drive Surgical Clinic, PA was last updated on October 7, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years 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.