FRYECARE WATAUGA, LLC (NPI# 1902243686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902243686 |
| Entity Type | Organization |
| Organization Name | FRYECARE WATAUGA, LLC |
| Other Organization Name | MOUNTAIN FAMILY MEDICINE |
| Practice Address |
245 Winklers Creek Rd Ste C Boone NC 28607-7838 |
| Practice Telephone | 8282621800 |
| Practice Fax Number | 8282625444 |
| Mailing Telephone | 8282621800 |
| Mailing Fax Number | 8282625444 |
| Enumeration Date | 2013-06-04 |
| Last Update Date | 2016-06-08 |
| Authorized Official Name | MR. WESLEY O. JAMES (REGIONAL CFO, TENET) |
| Authorized Official Telephone | 4042655009 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities | ||
| Y | 207UN0901X |
Nuclear Medicine Specialization: Nuclear Cardiology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Mountain Family Medicine | Doing Business As Name - Organization |
| Street Address |
245 WINKLERS CREEK RD STE C |
| City | BOONE |
| State | NC |
| Zip Code | 28607-7838 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053778696 | Dlp Central Carolina Physician Practices LLC | Nurse Practitioner | 245 Winklers Creek Rd, Boone, NC 28607-7838 | 2016-01-27 |
| 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 | 207UN0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Nuclear Medicine |
| Specialization | Nuclear Cardiology |
| A nuclear medicine physician who specializes in nuclear cardiology. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Nuclear Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477006385 | Charles A. Cannon, Jr. Memorial Hospital, Inc. | Nuclear Medicine | 434 Hospital Drive, Linville, NC 28646-0787 | 2016-07-27 |
| 1639236342 | Cardiac Wellness Imaging, Pllc | Nuclear Medicine | 310 S Mccaskey Rd, Williamston, NC 27892-2150 | 2007-01-02 |
| 1235227091 | Joseph Caravalho Jr. | Nuclear Medicine | 2817 Reilly Road, Womack Army Medical Center Mcxc Cod Credentials, Fort Bragg, NC 28310 | 2006-10-10 |
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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.