Active NPI
John B Pecorak, M.D.
- Pediatrics Physician
- Asheville, NC
National Provider Identifier
1174571632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 24487
- Practice address
- 509 Biltmore Ave
Asheville, NC 28801-4601 - Phone
- (828) 213-1751
- NPI assigned
- May 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | 2005024068 | MO | |
| Pediatrics Physician | 208000000X | 24487 | NC | Primary |
Addresses
Primary practice location
509 Biltmore Ave
Asheville, NC 28801-4601
Mailing address
PO Box 2409
Cashiers, NC 28717-2409
Phone (573) 823-3111
Other practice location 1
1589 East Valley Drive
Sapphire, NC 28774
Phone (573) 825-0998
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 207504200 | Medicaid | MO |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 24487 | NC | MD | Pediatrics Physician |
| 2005024068 | MO | MD | Pediatric Adolescent Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660176000000",
"number": "1174571632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2409",
"city": "CASHIERS",
"state": "NC",
"postal_code": "287172409",
"telephone_number": "573-823-3111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "509 BILTMORE AVE",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288014601",
"telephone_number": "828-213-1751"
}
],
"practiceLocations": [
{
"address_1": "1589 East Valley Drive",
"address_purpose": "LOCATION",
"city": "Sapphire",
"state": "NC",
"postal_code": "28774",
"country_code": "US",
"telephone_number": "573-825-0998",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PECORAK",
"first_name": "JOHN",
"middle_name": "B",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-05",
"last_updated": "2022-08-11",
"certification_date": "2022-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "MO",
"license": "2005024068",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NC",
"license": "24487",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "207504200",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Asheville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.