NPIMap

Organization Active NPI

Mission Community Anesthesiology Specialists LLC

  • Neurological Surgery Physician
  • Asheville, NC
National Provider Identifier
1255801478
Registry record updated Nov 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
MISSION COMMUNITY ANESTHESIOLOGY SPECIALISTS LLC
Practice address
509 Biltmore Ave
Asheville, NC 28801-4601
Phone
(828) 213-1740
NPI assigned
Nov 30, 2018
Last updated
Nov 30, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
MISSION COMMUNITY ANESTHESIOLOGY SPECIALISTS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 30, 2018

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

Authorized official

Name
Marilyn Tatham, DO
Title
Provider Enrollment Manager
Phone
(828) 651-6595

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X NU Primary

Addresses

Primary practice location

509 Biltmore Ave
Asheville, NC 28801-4601

Mailing address

PO Box 603366
Charlotte, NC 28260-3366
Phone (828) 213-1500

Other identifiers 1

IdentifierTypeStateIssuer
02CG9OtherNCBC/BS OF NC

Other names 1

  • Neurosurgery Other name

National Provider Directory

National Provider Directory
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.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1543536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543536000000",
    "number": "1255801478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 603366",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282603366",
            "telephone_number": "828-213-1500",
            "fax_number": "828-681-1575"
        },
        {
            "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": "828-213-1740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION COMMUNITY ANESTHESIOLOGY SPECIALISTS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MISSION COMMUNITY ANESTHESIOLOGY SPECIALISTS LLC",
        "enumeration_date": "2018-11-30",
        "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",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF NC",
            "identifier": "02CG9",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neurosurgery",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Nov 30, 2018; 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.