WATAUGA MEDICAL CENTER INC (NPI# 1265068027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265068027 |
| Entity Type | Organization |
| Organization Name | WATAUGA MEDICAL CENTER INC |
| Other Organization Name | NEUROLOGY CONSULTATION |
| Practice Address |
336 Deerfield Rd Boone NC 28607-5008 |
| Mailing Address |
Po Box 2600 Boone NC 28607-2600 |
| Practice Telephone | 8282624133 |
| Practice Fax Number | 8282624103 |
| Mailing Telephone | 8282624133 |
| Mailing Fax Number | 8282624103 |
| Enumeration Date | 2020-03-12 |
| Last Update Date | 2020-06-03 |
| Authorized Official Name | MARY ETTA LONG (SVP) |
| Authorized Official Telephone | 8282624133 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084S0012X |
Psychiatry & Neurology Specialization: Sleep Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Neurology Consultation | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386268324 | Watauga Medical Center Inc | Pediatrics | 336 Deerfield Rd, Boone, NC 28607-5008 | 2020-06-05 |
| 1861031544 | Watauga Medical Center Inc | Internal Medicine | 336 Deerfield Rd, Boone, NC 28607-5008 | 2019-12-30 |
| 1336215821 | Watauga Medical Center Inc | Surgery | 336 Deerfield Rd, Boone, NC 28607-5008 | 2006-11-27 |
| 1548335581 | Watauga Medical Center Inc | Nurse Anesthetist, Certified Registered | 336 Deerfield Rd, Boone, NC 28607-5008 | 2006-11-22 |
| 1861567893 | Watauga Medical Center Inc | Radiology | 336 Deerfield Rd, Boone, NC 28607-5008 | 2006-11-22 |
| 1205859766 | Watauga Medical Center Inc | Internal Medicine | 336 Deerfield Rd, Boone, NC 28607-5008 | 2006-07-25 |
| Street Address |
336 DEERFIELD RD |
| City | BOONE |
| State | NC |
| Zip Code | 28607-5008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477556116 | Michael Francis Minogue | Emergency Medicine | 336 Deerfield Rd, Boone, NC 28607-5008 | 2005-05-26 |
| 1477152379 | Regan Early | Counselor | 336 Deerfield Rd, Boone, NC 28607-5008 | 2020-10-21 |
| 1093323321 | Sara Elizabeth Willis | Pharmacist | 336 Deerfield Rd, Boone, NC 28607-5008 | 2020-07-22 |
| 1386268324 | Watauga Medical Center Inc | Pediatrics | 336 Deerfield Rd, Boone, NC 28607-5008 | 2020-06-05 |
| 1164056537 | Jessica Lucero | Nurse Practitioner | 336 Deerfield Rd, Boone, NC 28607-5008 | 2020-02-25 |
| 1861031544 | Watauga Medical Center Inc | Internal Medicine | 336 Deerfield Rd, Boone, NC 28607-5008 | 2019-12-30 |
| 1861047672 | Amber Oliver Stern | Nurse Practitioner | 336 Deerfield Rd, Boone, NC 28607-5008 | 2019-08-08 |
| 1477115517 | Paige Leigh Harris | Social Worker | 336 Deerfield Rd, Boone, NC 28607-5008 | 2019-06-28 |
| 1992203152 | Christopher Anthony Santos | Nurse Anesthetist, Certified Registered | 336 Deerfield Rd, Boone, NC 28607-5008 | 2018-01-23 |
| 1003335860 | Holly K.g. Sawyer | Nurse Practitioner | 336 Deerfield Rd, Boone, NC 28607-5008 | 2017-09-13 |
| Find all providers in the same location | ||||
| 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 | 2084S0012X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Sleep Medicine |
| A Psychiatrist or Neurologist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders. |
| Notes: Source: American Academy of Sleep Medicine, www.aasm.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356668834 | Carolinas Sleep Specialists Pa | Psychiatry & Neurology | 920 Copperfield Blvd Ne, Concord, NC 28025-2433 | 2010-04-23 |
| 1578890521 | Sound Sleep Interpretations LLC | Psychiatry & Neurology | 2103 Bay Ct, High Point, NC 27265-9323 | 2009-11-12 |
| 1154559847 | Dt Neuro Consulting Pllc | Psychiatry & Neurology | 21 Meadow Crossing Ct, Greensboro, NC 27410-9734 | 2009-07-01 |
| 1265622377 | Novant Medical Group, Inc. | Psychiatry & Neurology | 14215 Ballantyne Coporate Place, Suite 230, Charlotte, NC 28277-3874 | 2007-07-26 |
| 1952423717 | Summit Sleep Disorder Center, Pa | Psychiatry & Neurology | 760 Hartness Rd, Statesville, NC 28677-3425 | 2007-04-04 |
| 1972524361 | Jason A Peck | Psychiatry & Neurology | 8037 Corporate Center Drive, Suite 400, Charlotte, NC 28226-4550 | 2006-07-21 |
| 1386284511 | Greater Carolina Sleep Diagnostics Pllc | Psychiatry & Neurology | 4111 Capitol St Ste A, Durham, NC 27704-2153 | 2020-01-15 |
| 1215411723 | Novant Medical Group Inc | Psychiatry & Neurology | 330 Billingsley Rd Ste 202, Charlotte, NC 28211-5020 | 2018-09-20 |
| 1497232318 | Novant Medical Group Inc | Psychiatry & Neurology | 2801 Randolph Rd Ste 101, Charlotte, NC 28211-1051 | 2018-07-24 |
| 1225522246 | Novant Medical Group, Inc | Psychiatry & Neurology | 8201 Healthcare Loop Ste 201, Charlotte, NC 28215-7072 | 2018-06-22 |
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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.