Organization Active NPI

Mountain Spine and Rehabilitation Specialists PLLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Asheville, NC
National Provider Identifier
1275576035
Registry record updated Jul 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
134844 Issued in NC
Legal business name
MOUNTAIN SPINE AND REHABILITATION SPECIALISTS PLLC
Practice address
7 Vanderbilt Park Dr
Asheville, NC 28803-1700
Phone
(828) 255-7776
Fax
(828) 274-7855
NPI assigned
Jun 13, 2006
Last updated
Jul 8, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
MOUNTAIN NEUROSURGICAL & SPINE CENTER PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 8, 2009

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

Authorized official

Name
Mr. Kevin F Fleming, CEO
Title
Ceo
Phone
(828) 255-7776

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 134844 NC Primary

Addresses

Primary practice location

7 Vanderbilt Park Dr
Asheville, NC 28803-1700

Mailing address

7 Vanderbilt Park Dr
Asheville, NC 28803-1700
Phone (828) 255-7776

Other identifiers 3

IdentifierTypeStateIssuer
018CMOtherNCBCBS NC PROVIDER #
2322706OtherNCMEDICARE PTAN
5903568MedicaidNC

National Provider Directory

National Provider Directory
Part of
Carolina Spineneurosurgery Center PA

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247011200000",
    "number": "1275576035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 VANDERBILT PARK DR",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288031700",
            "telephone_number": "828-255-7776",
            "fax_number": "828-274-7855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 VANDERBILT PARK DR",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288031700",
            "telephone_number": "828-255-7776",
            "fax_number": "828-274-7855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN SPINE AND REHABILITATION SPECIALISTS PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MOUNTAIN NEUROSURGICAL & SPINE CENTER PA",
        "enumeration_date": "2006-06-13",
        "last_updated": "2009-07-08",
        "status": "A",
        "authorized_official_last_name": "FLEMING",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "828-255-7776",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NC",
            "license": "134844",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC PROVIDER #",
            "identifier": "018CM",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "2322706",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5903568",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jul 8, 2009; 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.