NPIMap

Organization Active NPI

Pardee Family Medicine Associates

  • Family Medicine Physician
  • Hendersonville, NC
National Provider Identifier
1104130764
Registry record updated Dec 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PARDEE FAMILY MEDICINE ASSOCIATES
Practice address
705 6TH Ave W
Suite D
Hendersonville, NC 28739-4164
Phone
(828) 693-7287
NPI assigned
Aug 5, 2010
Organization subpart
Yes
Parent organization
HENDERSON COUNTY HOSPITAL CORPORATION D/B/A PARDEE MEDICAL ASSOCIATESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 7, 2010

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

Authorized official

Name
Alan D House, CFO
Title
Chief Financial Officer
Phone
(828) 696-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

705 6TH Ave W
Suite D
Hendersonville, NC 28739-4164

Mailing address

PO Box 63314
Charlotte, NC 28263-3314

Other identifiers 1

IdentifierTypeStateIssuer
0185XOtherNCBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory
Tax ID family
Pardee Flat Rock Family Health Center49 organizations share this tax ID, including this one
Part of
Pardee Flat Rock Family Health Center

Other organizations with this tax ID 48

Organizations that report the same tax identification number in the National Provider Directory.

View all 48

NPI Registry JSON

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

{
    "created_epoch": "1280966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291680000000",
    "number": "1104130764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 63314",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282633314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 6TH AVE W",
            "address_2": "SUITE D",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287394164",
            "telephone_number": "828-693-7287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARDEE FAMILY MEDICINE ASSOCIATES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HENDERSON COUNTY HOSPITAL CORPORATION D/B/A PARDEE MEDICAL ASSOCIATES",
        "enumeration_date": "2010-08-05",
        "last_updated": "2010-12-07",
        "status": "A",
        "authorized_official_last_name": "HOUSE",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "828-696-1000",
        "authorized_official_credential": "CFO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0185X",
            "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 Dec 7, 2010; 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.