Extended Care Physicians - Mountain, PA

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

200201376 Issued in NC

Legal business name

EXTENDED CARE PHYSICIANS - MOUNTAIN, PA

Practice address

90 Southside Ave
Suite 300
Asheville, NC 28801-4160

Phone

(828) 277-4810

NPI assigned

Jul 7, 2005

Organization subpart

No

Name

Robin Gleeson-Warren

Title

Credentialing Director

Phone

(828) 277-4810

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

• Tyler D Allen, PA

  • Physician Assistant
  • Asheville, NC
  • NPI 1053583294
  NPD (past)
• Richard Scott Arwood, M.D.

  • Internal Medicine Physician
  • Asheville, NC
  • NPI 1376598391

  Internal Medicine

  NPD (past)
• Andrea D Bailey, NP

  • Family Nurse Practitioner
  • Asheville, NC
  • NPI 1376955906

  Nurse Practitioner

  NPD (past)
• Brenda G Baker, MD

  • Internal Medicine Physician
  • Raleigh, NC
  • NPI 1467476416

  Internal Medicine

  NPD (past)
• William Clayton Ballantine, M.D.

  • Internal Medicine Physician
  • Asheville, NC
  • NPI 1801835624

  Internal Medicine

  NPD (past)
• Kimberly Ann Baptiste, MD

  • Family Medicine Physician
  • Asheville, NC
  • NPI 1881646693

  Family Medicine

  NPD (past)
• Thomas Berner, MD

  • Emergency Medicine Physician
  • Asheville, NC
  • NPI 1851354583
  NPD (past)
• Elizabeth A Brown, NP

  • Acute Care Nurse Practitioner
  • Asheville, NC
  • NPI 1255478327

  Nurse Practitioner

  NPD (past)
• Remus B Bullard III, PA-C

  • Physician Assistant
  • Hickory, NC
  • NPI 1790728145
  NPD (past)
• Lara Anne Christy, ANP-BC, MSN

  • Nurse Practitioner
  • Asheville, NC
  • NPI 1174828693
  NPD (past)
• Pushp Kumar Claudius, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Biscoe, NC
  • NPI 1013995612

  Internal Medicine

  NPD (past)
• Katherine Grimes Crum, M.D.

  • General Practice Physician
  • Asheville, NC
  • NPI 1336374081

  General Practice

  NPD (past)

Locations

• ECP North Carolina, PA Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 16, 2015.

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429142400000",
    "number": "1104823087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 890291",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282890291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 SOUTHSIDE AVE",
            "address_2": "SUITE 300",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288014160",
            "telephone_number": "828-277-4810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXTENDED CARE PHYSICIANS - MOUNTAIN, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2015-04-16",
        "status": "A",
        "authorized_official_last_name": "GLEESON-WARREN",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "CREDENTIALING DIRECTOR",
        "authorized_official_telephone_number": "828-277-4810"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NC",
            "license": "200201376",
            "primary": true
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NC",
            "license": "86999",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "86999",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "011JK",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89011JK",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "56162",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CG9205",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ECP North Carolina, PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Asheville, NC
• Geriatric Medicine (Internal Medicine) Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2015; 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.