Mountain Laurel Internal Medicine,PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MOUNTAIN LAUREL INTERNAL MEDICINE,PA

Practice address

2139 Linville Falls Hwy
Linville, NC 28646

Phone

(828) 733-0270

Fax

(828) 733-9271

NPI assigned

Oct 31, 2006

Last updated

Jul 31, 2024By 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

Stephen Lee Bailey, RN

Title

Business Manager

Phone

(828) 733-0270

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8893/brand/1/csg/1/fhir/r4

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.

• Joseph David Barker, M.D.

  • Internal Medicine Physician
  • Linville, NC
  • NPI 1194704817
  Medicare reassignment NPD

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722384000000",
    "number": "1255417358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1045",
            "city": "LINVILLE",
            "state": "NC",
            "postal_code": "286461045",
            "telephone_number": "828-733-0270",
            "fax_number": "828-733-9271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2139 LINVILLE FALLS HWY",
            "city": "LINVILLE",
            "state": "NC",
            "postal_code": "28646",
            "telephone_number": "828-733-0270",
            "fax_number": "828-733-9271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN LAUREL INTERNAL MEDICINE,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "828-733-0270",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NC",
            "license": "36648",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Wagner Jordan, CNM
• Linville Emergency Physicians PLLC
• Devereaux Looper, LCSW
• Ella T Markland, FNP-C, PMHNP-BC
• Ronald McGowan, M.D.
• Laura C Petche, PHARMD
• Caitlin Silver Porter, DO
• Carol Gail Schaffer, D.M.D
• Susan Ulricke Schleith, NP
• John Clayton Skarda, M.D.

• Internal Medicine Physician in Linville, NC
• Providers in Linville, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; 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.