Organization Active NPI

Compassionate Care of NC, P.a.

  • Internal Medicine Physician
  • Boone, NC
National Provider Identifier
1134531999
Registry record updated Jun 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2005-00426 Issued in NC
Legal business name
COMPASSIONATE CARE OF NC, P.A.
Practice address
520 Church Rd
Boone, NC 28607-8332
Phone
(828) 963-9400
Fax
(828) 963-1973
NPI assigned
May 28, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2014

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

Authorized official

Name
Elizabeth Sudderth
Title
Compliance Officer
Phone
(828) 355-3365

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 2005-00426 NC Primary

Addresses

Primary practice location

520 Church Rd
Boone, NC 28607-8332

Mailing address

345 Deerfield Rd
Boone, NC 28607-5009
Phone (828) 355-3365

National Provider Directory

National Provider Directory

Locations

400 Shadowline Dr
Ste 201B
Boone, NC 28607
Phone (828) 832-8300

NPI Registry JSON

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

{
    "created_epoch": "1401235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402876800000",
    "number": "1134531999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 DEERFIELD RD",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286075009",
            "telephone_number": "828-355-3365",
            "fax_number": "828-264-0543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 CHURCH RD",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286078332",
            "telephone_number": "828-963-9400",
            "fax_number": "828-963-1973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASSIONATE CARE OF NC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-28",
        "last_updated": "2014-06-16",
        "status": "A",
        "authorized_official_last_name": "SUDDERTH",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "828-355-3365"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2005-00426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boone, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2014; 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.