Mission Community Anesthesiology Specialists LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MISSION COMMUNITY ANESTHESIOLOGY SPECIALISTS LLC

Practice address

428 Biltmore Ave
Asheville, NC 28801-4502

Phone

(828) 213-1740

NPI assigned

Nov 29, 2018

Last updated

Nov 30, 2018By the provider in NPPES

Organization subpart

Yes

Parent organization

MISSION COMMUNITY ANESTHESIOLOGY SPECIALISTS LLCAs reported in NPPES

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

Authorized official

Name

Marilyn Tatham

Title

Provider Enrollment Manager

Phone

(828) 651-6595

Specialties & licenses 6

Addresses

Other identifiers 1

Other names 1

• Clinical Social Work Other name

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Other NPIs on the same Medicare enrollment 25

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Mission Community Anesthesiology Specialists LLC

  • Pulmonary Disease Physician
  • Asheville, NC
  • NPI 1023588258

  O20160426001883

  Same enrollment
• Mission Community Anesthesiology Specialists LLC

  • Physician Assistant
  • Asheville, NC
  • NPI 1114497344

  O20160426001883

  Same enrollment
• Mission Community Anesthesiology Specialists LLC

  • Urology Physician
  • Asheville, NC
  • NPI 1235609470

  O20160426001883

  Same enrollment
• Mission Community Anesthesiology Specialists LLC

  • Nurse Practitioner
  • Arden, NC
  • NPI 1255801486

  O20160426001883

  Same enrollment
• Mission Community Anesthesiology Specialists LLC

  • Vascular Surgery Physician
  • Asheville, NC
  • NPI 1396215539

  O20160426001883

  Same enrollment
• Mission Community Anesthesiology Specialists LLC

  • Neurology Physician
  • Asheville, NC
  • NPI 1437629664

  O20160426001883

  Same enrollment
• Mission Community Anesthesiology Specialists LLC

  • Orthopaedic Surgery Physician
  • Asheville, NC
  • NPI 1467922682

  O20160426001883

  Same enrollment
• Mission Community Anesthesiology Specialists LLC

  • Pediatrics Physician
  • Asheville, NC
  • NPI 1508336157

  O20160426001883

  Same enrollment
• Mission Community Anesthesiology Specialists LLC

  • Hospitalist Physician
  • Asheville, NC
  • NPI 1518437722

  O20160426001883

  Same enrollment
• Mission Community Anesthesiology Specialists LLC

  • Obstetrics & Gynecology Physician
  • Asheville, NC
  • NPI 1518437748

  O20160426001883

  Same enrollment
• Mission Community Anesthesiology Specialists LLC

  • Certified Respiratory Therapist
  • Asheville, NC
  • NPI 1528538766

  O20160426001883

  Same enrollment
• Mission Community Anesthesiology Specialists LLC

  • Registered Dietitian
  • Asheville, NC
  • NPI 1538639752

  O20160426001883

  Same enrollment

Tax ID family

Mission Health Community Multispecialty Providers LLC23 organizations share this tax ID, including this one

Part of

Mission Health Community Multispecialty Providers LLC

Other organizations with this tax ID 22

Organizations that report the same tax identification number in the National Provider Directory.

• Mission Community Anesthesiology Specialists LLC

  • Pulmonary Disease Physician
  • Asheville, NC
  • NPI 1023588258
  NPD tax ID
• Mission Community Anesthesiology Specialists LLC

  • Physician Assistant
  • Asheville, NC
  • NPI 1114497344
  NPD tax ID
• Mission Community Anesthesiology Specialists LLC

  • Urology Physician
  • Asheville, NC
  • NPI 1235609470
  NPD tax ID
• Mission Community Anesthesiology Specialists LLC

  • Neurological Surgery Physician
  • Asheville, NC
  • NPI 1255801478
  NPD tax ID
• Mission Community Anesthesiology Specialists LLC

  • Nurse Practitioner
  • Arden, NC
  • NPI 1255801486
  NPD tax ID
• Mission Community Anesthesiology Specialists LLC

  • Vascular Surgery Physician
  • Asheville, NC
  • NPI 1396215539
  NPD tax ID
• Mission Community Anesthesiology Specialists LLC

  • Neurology Physician
  • Asheville, NC
  • NPI 1437629664
  NPD tax ID
• Mission Community Anesthesiology Specialists LLC

  • Orthopaedic Surgery Physician
  • Asheville, NC
  • NPI 1467922682
  NPD tax ID
• Mission Community Anesthesiology Specialists LLC

  • Pediatrics Physician
  • Asheville, NC
  • NPI 1508336157
  NPD tax ID
• Mission Community Anesthesiology Specialists LLC

  • Hospitalist Physician
  • Asheville, NC
  • NPI 1518437722
  NPD tax ID
• Mission Community Anesthesiology Specialists LLC

  • Obstetrics & Gynecology Physician
  • Asheville, NC
  • NPI 1518437748
  NPD tax ID
• Mission Community Anesthesiology Specialists LLC

  • Certified Respiratory Therapist
  • Asheville, NC
  • NPI 1528538766
  NPD tax ID

Locations

Practitioners 375

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.

• Laura Bernstein

  • Surgery Physician
  • Goldsboro, NC
  • NPI 1053555102
  NPD
• Krystal Bottom, M.D.

  • Pediatrics Physician
  • Asheville, NC
  • NPI 1306826870
  NPD
• Cynthia Brown, M.D.

  • Child Abuse Pediatrics Physician
  • Asheville, NC
  • NPI 1144200627
  NPD
• John Ellison

  • Family Medicine Physician
  • Arden, NC
  • NPI 1528414984
  NPD
• Savanna Yount Gary, PA-C

  • Physician Assistant
  • Forest City, NC
  • NPI 1366892333
  NPD
• Leigh Vainio Johanson

  • Physician Assistant
  • Old Fort, NC
  • NPI 1730413709
  NPD
• Anna Elisa Lopez-Stratton, MD

  • Family Medicine Physician
  • Clyde, NC
  • NPI 1548354699
  NPD
• Stephanie Elizabeth Murphy, DO

  • Hospitalist Physician
  • Winston Salem, NC
  • NPI 1285898833
  NPD
• Joan Aimee Queng, M.D.

  • Family Medicine Physician
  • Robbinsville, NC
  • NPI 1215932298
  NPD
• Catherine Reed Rodgers, PA-C

  • Physician Assistant
  • Charlotte, NC
  • NPI 1851940720
  NPD
• Erin Schmidt, FNP-C

  • Nurse Practitioner
  • Asheville, NC
  • NPI 1386940864
  NPD
• Elyse C Adams, P.A.-C

  • Surgical Physician Assistant
  • Columbia, TN
  • NPI 1376965129
  NPD

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

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    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543536000000",
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            "address_1": "PO BOX 603366",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282603366",
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            "fax_number": "828-681-1575"
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            "country_code": "US",
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            "postal_code": "288014502",
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        }
    ],
    "practiceLocations": [
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            "address_1": "190 Riverview St",
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            "address_1": "288 S Ridgecrest Ave",
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            "address_1": "310 Long Shoals Rd Ste 110",
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        {
            "address_1": "310 Long Shoals Rd Ste 310",
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        {
            "address_1": "310 Long Shoals Rd Ste 320",
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            "postal_code": "287048794",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "32 E Main St",
            "address_purpose": "LOCATION",
            "city": "Old Fort",
            "state": "NC",
            "postal_code": "287620017",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
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        {
            "address_1": "339 Nebo School Rd",
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            "city": "Nebo",
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            "postal_code": "287616848",
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            "country_name": "United States",
            "address_type": "DOM"
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            "address_1": "100 Medical Heights Dr",
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            "city": "Morganton",
            "state": "NC",
            "postal_code": "286555197",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Ridgefield Ct",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288062270",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
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        {
            "address_1": "11 Vanderbilt Park Dr",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288031700",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
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        {
            "address_1": "125 Medical Park Ln Ste H",
            "address_purpose": "LOCATION",
            "city": "Murphy",
            "state": "NC",
            "postal_code": "289066921",
            "country_code": "US",
            "telephone_number": "828-213-1740",
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        {
            "address_1": "149 W Parker Rd",
            "address_purpose": "LOCATION",
            "city": "Morganton",
            "state": "NC",
            "postal_code": "286554673",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
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        {
            "address_1": "16825 Rosman Hwy",
            "address_purpose": "LOCATION",
            "city": "Lake Toxaway",
            "state": "NC",
            "postal_code": "287479593",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "189 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Spruce Pine",
            "state": "NC",
            "postal_code": "287773035",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "187 Medical Park Dr",
            "address_purpose": "LOCATION",
            "city": "Brevard",
            "state": "NC",
            "postal_code": "287124189",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1830 Lakeside Dr",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "NC",
            "postal_code": "287346778",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
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        {
            "address_1": "186 Medical Park Loop Ste 501",
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            "postal_code": "287794110",
            "country_code": "US",
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            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
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            "state": "NC",
            "postal_code": "287526202",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "472 Rankin Dr",
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            "state": "NC",
            "postal_code": "287526568",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
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            "state": "NC",
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            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9 Vanderbilt Park Dr",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288031700",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 Medical Campus Dr",
            "address_purpose": "LOCATION",
            "city": "Burnsville",
            "state": "NC",
            "postal_code": "287149010",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "57 White Owl Ln",
            "address_purpose": "LOCATION",
            "city": "Cashiers",
            "state": "NC",
            "postal_code": "287174514",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
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            "address_1": "563 W Main St",
            "address_purpose": "LOCATION",
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            "state": "NC",
            "postal_code": "287795550",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5 Vanderbilt Park Dr",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288031700",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5623 US 221 S",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "NC",
            "postal_code": "287527028",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "377 Gallimore Rd",
            "address_purpose": "LOCATION",
            "city": "Brevard",
            "state": "NC",
            "postal_code": "287128874",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MISSION COMMUNITY ANESTHESIOLOGY SPECIALISTS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MISSION COMMUNITY ANESTHESIOLOGY SPECIALISTS LLC",
        "enumeration_date": "2018-11-29",
        "last_updated": "2018-11-30",
        "status": "A",
        "authorized_official_last_name": "TATHAM",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_title_or_position": "PROVIDER ENROLLMENT MANAGER",
        "authorized_official_telephone_number": "828-651-6595"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF NC",
            "identifier": "02CG9",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinical Social Work",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Clinical Social Work",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Joel Mark Misler, LPC
• Mission Community Anesthesiology Specialists LLC
• Mission Community Anesthesiology Specialists LLC
• Mission Community Anesthesiology Specialists LLC
• Mission Community Anesthesiology Specialists LLC
• Mission Community Anesthesiology Specialists LLC
• Mission Community Anesthesiology Specialists LLC
• Mission Community Anesthesiology Specialists LLC
• Mission Community Anesthesiology Specialists LLC
• Mission Community Anesthesiology Specialists LLC

• Clinical Social Worker in Asheville, NC
• Providers in Asheville, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.