WATAUGA MEDICAL CENTER INC (NPI# 1861567893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861567893 |
| Entity Type | Organization |
| Organization Name | WATAUGA MEDICAL CENTER INC |
| Other Organization Name | WATAUGA MEDICAL CENTER |
| Practice Address |
336 Deerfield Rd Boone NC 28607-5008 |
| Mailing Address |
155 Furman Rd Suite 101 Boone NC 28607-5049 |
| Practice Telephone | 8282624100 |
| Practice Fax Number | 8282624157 |
| Mailing Telephone | 8282624438 |
| Mailing Fax Number | 8282624157 |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2019-01-11 |
| Authorized Official Name | MS. MARY ETTA LONG (SR VP MEDICAL STAFF RELATIONS) |
| Authorized Official Telephone | 8282624133 |
| Is Organization Subpart | Y |
| Parent Organization Name | APPALACHIAN REGIONAL HEALTHCARE SYSTEM |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0001X |
Radiology Specialization: Radiation Oncology |
Allopathic & Osteopathic Physicians | ||
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS ONCOLOGY | 07630 | 01 |
| NC | 8907630 | 05 |
| Other Name | Type Code |
|---|---|
| Watauga Medical Center | 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 |
| 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 |
| 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 |
| 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 |
| 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 | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386627677 | Anna Lucy Sobol | Internal Medicine | 336 Deerfield Rd, Boone, NC 28607-5008 | 2005-11-21 |
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|---|---|---|---|---|
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| 1881212215 | The Presbyterian Hospital | Internal Medicine | 125 Queens Rd Ste 520, Charlotte, NC 28204-3215 | 2020-07-13 |
| 1720606486 | The Presbyterian Hospital | Internal Medicine | 125 Queens Rd Ste 400, Charlotte, NC 28204-3215 | 2020-07-09 |
| 1720606445 | The Presbyterian Hospital | Internal Medicine | 125 Queens Rd Ste 430, Charlotte, NC 28204-3215 | 2020-07-09 |
| 1235757352 | The Presbyterian Hospital | Internal Medicine | 125 Queens Rd Ste 420, Charlotte, NC 28204-3215 | 2020-07-07 |
| 1811517311 | Rowan Regional Medical Center, Inc. | Internal Medicine | 631 Mocksville Ave, Ste 1020, Salisbury, NC 28144-2731 | 2020-04-24 |
| 1154955995 | Mohamed Sobhy Elhusseini Yassin | Internal Medicine | 2400 Pratt St Ste 5000, Durham, NC 27705-3976 | 2020-03-02 |
| 1164944377 | David Michael Ashley | Internal Medicine | Department of Neurosurgery Duke University Ctr, Durham, NC 27710-0001 | 2017-07-10 |
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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.