Smoky Mountain Urological Inc.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

200001545 Issued in NC

Legal business name

SMOKY MOUNTAIN UROLOGICAL INC.

Practice address

1334 Asheville Hwy
Hendersonville, NC 28791-3414

Phone

(828) 698-0896

Fax

(828) 698-9532

NPI assigned

May 14, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Rustan Joel Van Wyk, D.O.NPI 1861474439

Title

Provider

Phone

(828) 698-0896

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rustan Joel Van Wyk, D.O.

  • Urology Physician
  • Greenville, NC
  • NPI 1861474439
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316995200000",
    "number": "1063627834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1334 ASHEVILLE HWY",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287913414",
            "telephone_number": "828-698-0896",
            "fax_number": "828-698-9532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1334 ASHEVILLE HWY",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287913414",
            "telephone_number": "828-698-0896",
            "fax_number": "828-698-9532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMOKY MOUNTAIN UROLOGICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2011-09-26",
        "status": "A",
        "authorized_official_last_name": "VAN WYK",
        "authorized_official_first_name": "RUSTAN",
        "authorized_official_middle_name": "JOEL",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "828-698-0896",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "NC",
            "license": "200001545",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89128F6",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Smith
• Sarah Spraker Smith, LCSW
• Tamia Smith
• Travis Brian Smith, PHARMD
• Valerie Blackburn Smith, MA, LPC, NCC, AAPC
• Smoky Mountain Urology, Inc
• Richard Lee Smoot, PSY.D.
• Sean M Snowden, PA
• Matthew Thomas Snyder, MA, LPCS, PSYD
• Paul Soltesz

• Urology Physician in Hendersonville, NC
• Providers in Hendersonville, NC by specialty
• Urology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.