Organization
JAMES S. MCFADDEN, MD,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES STUART MCFADDEN M.D. (PRESIDENT)
(910) 295-2920
Entity
Organization
Contact information
Practice address
35 MCDONALD RD W, PINEHURST, NC 28374-8946
(910) 295-2920
(910) 295-4640
Mailing address
35 MCDONALD RD W, PO BOX 5398, PINEHURST, NC 28374-8946
(910) 295-2920
(910) 295-4640
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
40471
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02452
BCBS GROUP NUMBER
NC
01
—
050007881
RR MEDICARE
NC
01
—
201498
MEDICARE PTAN
NC
01
—
201498B
MEDICARE INDIVIDUAL ID #
NC
01
—
56525
BCBS
NC
05
—
7902452
—
NC
01
—
NPB002
SC EDS
NC
01
—
QC0313
SC EDS INDIVIDUAL
NC
Enumeration date
07/25/2006
Last updated
08/11/2009
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