Paul E Iacono, MD

Primary specialty

Developmental - Behavioral Pediatrics PhysicianTaxonomy code 2080P0006X

License

9600576 Issued in NC

Practice address

50 Hospital Drive
Suite 5-D
Hendersonville, NC 28792-5247

Phone

(828) 684-1030

Fax

(828) 687-8229

NPI assigned

Oct 18, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• New Vistas-Mountain Laurel, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hendersonville, NC
  • NPI 1710937396
  NPD (past)

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192060800000",
    "number": "1255412631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1869",
            "city": "FLETCHER",
            "state": "NC",
            "postal_code": "287321869",
            "telephone_number": "828-687-6282",
            "fax_number": "828-687-6285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 HOSPITAL DRIVE",
            "address_2": "SUITE 5-D",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287925247",
            "telephone_number": "828-684-1030",
            "fax_number": "828-687-8229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IACONO",
        "first_name": "PAUL",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2007-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "NC",
            "license": "9600576",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "45040",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8945040",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clara Goudelock Hutt, PT
• Brenda L Hyatt, CRNA
• Mildred M Hyman, FNP & PTA
• Scott Adam Hyman, DPM
• Julie Lindsey Iacono, M.D.
• Benedetto A Iacovelli, M.D.
• Chinedu M Iheagwara, MD
• In Balance Nutrition
• Ingles Markets Inc
• Ingles Markets Inc

• Developmental - Behavioral Pediatrics Physician in Hendersonville, NC
• Providers in Hendersonville, NC by specialty
• Developmental - Behavioral Pediatrics Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; 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.