DLP CENTRAL CAROLINA PHYSICIAN PRACTICES LLC (NPI# 1053778696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053778696 |
| Entity Type | Organization |
| Organization Name | DLP CENTRAL CAROLINA PHYSICIAN PRACTICES LLC |
| Other Organization Name | MOUNTAIN FAMILY MEDICINE |
| Practice Address |
245 Winklers Creek Rd Boone NC 28607-7838 |
| Practice Telephone | 6159207000 |
| Mailing Telephone | 6159207000 |
| Enumeration Date | 2016-01-27 |
| Last Update Date | 2016-01-27 |
| Authorized Official Name | JESS JUDY (PRESIDENT) |
| Authorized Official Telephone | 6159207000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| MOUNTAIN FAMILY MEDICINE | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396101689 | Dlp Central Carolina Physician Practices LLC | Nurse Practitioner | 237 Longvue Dr Ste A, Boone, NC 28607-5070 | 2016-01-03 |
| 1407376783 | Dlp Central Carolina Physician Practices LLC | Pediatrics | 415 N Center St, Hickory, NC 28601-5057 | 2017-06-27 |
| 1457802928 | Dlp Central Carolina Physician Practices LLC | Family Medicine | 2609 S Horner Blvd, Sanford, NC 27332-8032 | 2016-10-20 |
| 1538517917 | Dlp Central Carolina Physician Practices LLC | Family Medicine | 915 Tate Blvd Se, Suite 186, Hickory, NC 28602-4042 | 2016-05-26 |
| 1790133171 | Dlp Central Carolina Physician Practices LLC | Internal Medicine | 420 N Center St, Hickory, NC 28601-5033 | 2016-05-26 |
| 1124485768 | Dlp Central Carolina Physician Practices LLC | Nurse Practitioner | 210 13th Avenue Pl Nw, Ste 101, Hickory, NC 28601-2568 | 2016-01-27 |
| 1417314055 | Dlp Central Carolina Physician Practices LLC | Internal Medicine | 415 N Center St, Ste 203, Hickory, NC 28601-5057 | 2016-01-27 |
| 1043677685 | Dlp Central Carolina Physician Practices LLC | Internal Medicine | 915 Tate Blvd Se, Ste 182, Hickory, NC 28602-4042 | 2016-01-27 |
| 1780041327 | Dlp Central Carolina Physician Practices LLC | Counselor | 915 Tate Blvd Se, Ste 186, Hickory, NC 28602-4042 | 2016-01-27 |
| 1205293842 | Dlp Central Carolina Physician Practices LLC | Internal Medicine | 1105 Fairgrove Church Rd Se, Conover, NC 28613-9090 | 2016-01-27 |
| Street Address |
245 WINKLERS CREEK RD |
| City | BOONE |
| State | NC |
| Zip Code | 28607-7838 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902243686 | Fryecare Watauga, LLC | Clinic/Center | 245 Winklers Creek Rd, Ste C, Boone, NC 28607-7838 | 2013-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184261232 | Blaire E. Warren, Dds, Pllc | Clinic/Center | 142 Doctors Drive, Boone, NC 28607 | 2019-12-09 |
| 1073176871 | Whitney B Van Sant | Psychologist | 719-a Greenway Rd., Boone, NC 28607 | 2019-04-17 |
| 1710489273 | Appalachian Regional Medical Associates Inc | Internal Medicine | Appgastro - Asc, 870 State Farm Rd, Ste 102, Boone, NC 28607 | 2018-03-01 |
| 1891234019 | Laura Kacere | Counselor | 895 State Farm Rd Ste 507-5, Boone, NC 28607 | 2017-02-21 |
| 1902357320 | Innate Chiropractic - Pllc | Chiropractor | 838 State Farm Road, Ste 1, Boone, NC 28607 | 2016-10-20 |
| 1437519501 | David Hale Johnson | Nurse Practitioner | 169 Doctors Drive, Boone, NC 28607 | 2016-03-02 |
| 1639538895 | Lara Mele | Lactation Consultant, Non-RN | 180 Pine Hill Road, Boone, NC 28607 | 2016-02-16 |
| 1659749927 | Rachel Arledge | Counselor | 895 State Farm Rd. Bldg. 500, Ste. 505, Boone, NC 28607 | 2015-09-03 |
| 1346625431 | Kelly Walsh Whiteley | Dentist | 450 New Market Blvd Ste 2, Boone, NC 28607 | 2015-07-30 |
| 1184000234 | Ruby Amanda Stipe Blaylock | Physician Assistant | 2146 Blowing Rock Road - App Urgent Care, Boone, NC 28607 | 2015-07-30 |
| Find all providers in zip 28607 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720119381 | Susan Elizabeth Murphey | Family Medicine | 151 Eastbrook Dr, Boone, NC 28607-3667 | 2007-03-08 |
| 1295892933 | Heather M. Herman | Family Medicine | 379 New Market Blvd Ste 1, Boone, NC 28607-3765 | 2007-01-02 |
| 1164432399 | Timothy Patrick Dailey | Family Medicine | 1879 Old 421 South, Boone, NC 28607-6293 | 2006-08-09 |
| 1841200110 | Primedical Healthcare Pa | Family Medicine | 240 Highway 105 Ext Ste 100, Boone, NC 28607-4291 | 2006-08-09 |
| 1306866041 | Bill J. Beason | Family Medicine | 237 Longvue Dr, #c, Boone, NC 28607-5070 | 2006-07-19 |
| 1457370967 | David Michael Cline | Family Medicine | 237 Longvue Dr Ste B, Boone, NC 28607-5070 | 2006-07-18 |
| 1306809504 | Frank Downs | Family Medicine | 1115 South Marshall Street, Boone County Family Medicine, Boone, IA 50036-5304 | 2006-04-10 |
| 1710955877 | Eric M Peterson | Family Medicine | 1115 S Marshall St, Boone, IA 50036-5304 | 2006-03-14 |
| 1518946078 | Mark R Harter | Family Medicine | 237a Longvue Dr, Boone, NC 28607 | 2006-01-12 |
| 1740268002 | Brian C Mehlhaus | Family Medicine | 120 S Story St, Boone, IA 50036-4739 | 2006-01-06 |
| Find all providers in BOONE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.