Appalachian Regional Medical Associates Inc
Organization Active NPI Surgery Physician · Boone, NC
NPI 1144748948 · NPPES record last updated Jan 17, 2025
Key facts
- NPI
- 1144748948
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Surgery Physician 208600000X
- Legal business name
- APPALACHIAN REGIONAL MEDICAL ASSOCIATES INC
- Practice address
- 965 State Farm Rd
Boone, NC 28607-4948 - Phone
- (828) 264-2340
- Fax
- (828) 262-0731
- NPI assigned
- Sep 1, 2017
- Organization subpart
- No
Authorized official
- Name
- Mary Etta Long, RHIA CPMSM
- Title
- Sr VP Medical Staff Relations
- Phone
- (828) 262-4133
Corporate family (same tax ID) 21
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D2298090 | Appalachian Regional Medical Associates | Certificate of waiver | Jan 28, 2028 |
National Provider Directory
- Tax ID family
- Appalachian Regional Medical Associates Inc
Locations
965 State Farm Rd
Boone, NC 28607
Phone (704) 264-2340
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician |
208600000X | NC | Yes |
Addresses
Primary practice location
965 State Farm Rd
Boone, NC 28607-4948
Mailing address
336 Deerfield Rd
Boone, NC 28607-5008
Phone (828) 263-1211
Other names
- Watauga Surgical Group
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Cobius Healthcare Solutions |
Other providers in Boone, NC
- Appalachian Regional Medical Associates
- Appalachian Regional Medical Associates
- Appalachian Regional Medical Associates
- Appalachian Regional Medical Associates
- Appalachian Regional Medical Associates
- Appalachian Regional Medical Associates Inc
- Appalachian Regional Medical Associates Inc
- Appalachian Regional Medical Associates Inc
- Appalachian Regional Medical Associates Inc
- Appalachian Regional Medical Associates, Inc
All providers in Boone, NC · Surgery Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 17, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.