Provider Demographics
NPI:1942230693
Name:CAPE FEAR FAMILY MEDICINE PA
Entity Type:Organization
Organization Name:CAPE FEAR FAMILY MEDICINE PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NOAH
Authorized Official - Middle Name:ROSS
Authorized Official - Last Name:PIERSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:910-791-2626
Mailing Address - Street 1:50 GREENVILLE AVE
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28403-3508
Mailing Address - Country:US
Mailing Address - Phone:910-791-2626
Mailing Address - Fax:910-791-2636
Practice Address - Street 1:50 GREENVILLE AVE
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28403-3508
Practice Address - Country:US
Practice Address - Phone:910-791-2626
Practice Address - Fax:910-791-2636
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1343NOtherBCBSNC DR MARGARET PIERSO
NC23368OtherMEDCOST
NC34362OtherPARTNERS
NC67744OtherBCBSNC DR NOAH PIERSON
NC02537OtherBCBSNC GROUP
NC210595OtherCIGNA
NCC8830OtherMEDCOST DR. MARGARET PIER
NC1343NOtherBCBSNC DR MARGARET PIERSO
2204693HMedicare ID - Type UnspecifiedDR. NOAH PIERSON
NC210595OtherCIGNA
F72885Medicare UPIN
NCF92390Medicare UPIN
NCH92750Medicare UPIN