WATAUGA MEDICAL CENTER INC (NPI# 1386268324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386268324 |
| Entity Type | Organization |
| Organization Name | WATAUGA MEDICAL CENTER INC |
| 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 | 2020-06-05 |
| Last Update Date | 2020-06-05 |
| Authorized Official Name | MARY ETTA LONG (SVP MEDICAL STAFF RELATIONS) |
| Authorized Official Telephone | 8282624133 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| AppPeds | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265068027 | Watauga Medical Center Inc | Psychiatry & Neurology | 336 Deerfield Rd, Boone, NC 28607-5008 | 2020-03-12 |
| 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 |
| 1265068027 | Watauga Medical Center Inc | Psychiatry & Neurology | 336 Deerfield Rd, Boone, NC 28607-5008 | 2020-03-12 |
| 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 | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295896132 | Northwest Childrens & Adolescents Clinic | Pediatrics | 134 Doctors Dr, Boone, NC 28607-5000 | 2006-12-13 |
| 1346220704 | Dykes Taylor Rushing | Pediatrics | Student Health, Appalachian State University, 614 Howard Street, Box 32070, Boone, NC 28608-0001 | 2006-01-20 |
| 1295717494 | Patricia Ann Geiger | Pediatrics | 614 Howard Street, Asu, Boone, NC 28608-0001 | 2005-11-15 |
| 1861483539 | Clinton Ballard Zimmerman Jr. | Pediatrics | 579 Greenway Rd, Suite 200, Boone, NC 28607-4809 | 2005-11-02 |
| 1073045332 | Laura Beth Tran | Pediatrics | 336 Deerfield Rd, Boone, NC 28607-5008 | 2017-03-28 |
| 1851416408 | Ila Evans Baugham | Pediatrics | 2359 Highway 105, Boone, NC 28607-7814 | 2007-03-20 |
| 1114038163 | Blue Ridge Pediatric & Adolescent Medicine, Inc | Pediatrics | 579 Greenway Rd, Suite 200, Boone, NC 28607-4809 | 2006-08-31 |
| 1841281243 | Gregory Lynn Adams | Pediatrics | 579 Greenway Rd, Suite 200, Boone, NC 28607-4809 | 2005-11-03 |
| 1902897671 | John Robert Lonas | Pediatrics | 579 Greenway Rd, Suite 200, Boone, NC 28607-4809 | 2005-11-02 |
| 1164413845 | Wesley Scott St Clair | Pediatrics | 579 Greenway Rd, Suite 200, Boone, NC 28607-4809 | 2005-11-02 |
| 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.