Individual provider Active NPI

Roger Clay Vanarsdell, MD

  • Emergency Medicine Physician
  • Hendersonville, NC
National Provider Identifier
1083818082
Registry record updated May 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
95-01138 Issued in NC
Practice address
275 Canterbury Way
Hendersonville, NC 28792
Phone
(828) 681-1839
NPI assigned
Jun 13, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 95-01138 NC Primary

Addresses

Primary practice location

275 Canterbury Way
Hendersonville, NC 28792

Mailing address

PO Box 217
Naples, NC 28760-0217
Phone (828) 681-1839

Other identifiers 1

IdentifierTypeStateIssuer
8911830MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4431AZMDGeneral Practice Dentistry
95-01138NCMDEmergency Medicine Physician
8304TNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Fletcher Emergency Services, LLC Emergency Medicine Past Accepting new patients
Phoenix Emergency Solutions of Fletcher PLLC Emergency Medicine Past Accepting new patients
Park Ridge Hospital Past Accepting new patients
Joshua Tree Emergency Physicians Medical Group, Inc Emergency Medicine Past Accepting new patients
Rosebud Indian Health Service Past Accepting new patients

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211155200000",
    "number": "1083818082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 217",
            "city": "NAPLES",
            "state": "NC",
            "postal_code": "287600217",
            "telephone_number": "828-681-1839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 CANTERBURY WAY",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "28792",
            "telephone_number": "828-681-1839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANARSDELL",
        "first_name": "ROGER",
        "middle_name": "CLAY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-13",
        "last_updated": "2008-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "95-01138",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8911830",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; 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.