Willow Tree Medical Concepts

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

98-01223 Issued in NC

Legal business name

WILLOW TREE MEDICAL CONCEPTS

Practice address

128 Meadowview Dr
Boone, NC 28607-5211

Phone

(828) 264-2727

Fax

(828) 264-2722

NPI assigned

Jan 31, 2012

Last updated

Feb 24, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jay Cranston, M.D.

Title

Medical Director

Phone

(828) 264-2727

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David McLemore, ICADC, CSAC

  • Addiction (Substance Use Disorder) Counselor
  • Boone, NC
  • NPI 1114360146
  NPD (past)

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

{
    "created_epoch": "1327968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330041600000",
    "number": "1215209614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 MEADOWVIEW DR",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286075211",
            "telephone_number": "828-264-2727",
            "fax_number": "828-264-2722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 MEADOWVIEW DR",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286075211",
            "telephone_number": "828-264-2727",
            "fax_number": "828-264-2722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW TREE MEDICAL CONCEPTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-31",
        "last_updated": "2012-02-24",
        "status": "A",
        "authorized_official_last_name": "CRANSTON",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "828-264-2727",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NC",
            "license": "98-01223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5916167",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janet K Williams
• Karen Edith Williams, FNP
• Tonya May Williamson-Leon, P.A.
• Sara Elizabeth Willis, PHARMD
• Willow Health and Wellness
• Ashley R Wilson, PSYD
• Jon L Winek, PHD
• Caitlin Wingler, MD
• Kevin W. Wolfe, MD
• Leah Wolff-Pomfrey, LCSW, LCAS-A

• Primary Care Clinic/Center in Boone, NC
• Providers in Boone, NC by specialty
• Primary Care Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2012; 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.