Active NPI
Mission Hospitals, Inc
- Occupational Medicine Physician
- Arden, NC
National Provider Identifier
1295137404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Physician
- Legal business name
- MISSION HOSPITALS, INC
- Practice address
- 310 Long Shoals Road
Suite 2200
Arden, NC 28704 - Phone
- (828) 213-3118
- NPI assigned
- Sep 18, 2014
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- William Robert Hathaway, MD
- Title
- Cmo
- Phone
- (828) 213-0499
National Provider Directory
National Provider Directory- Tax ID family
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Locations
310 Long Shoals Rd
Ste 2200
Arden, NC 28704
Phone (828) 213-3118
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Medicine Physician | 2083X0100X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
310 Long Shoals Road
Suite 2200
Arden, NC 28704
Mailing address
PO Box 602373
Charlotte, NC 28260-2373
Phone (828) 651-6516
Other names 1
NPPES NPI Registry- Mission WorkWell
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 18, 2014.
{
"created_epoch": "1410998400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1416268800000",
"number": "1295137404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 602373",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282602373",
"telephone_number": "828-651-6516",
"fax_number": "828-651-6563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 LONG SHOALS ROAD",
"address_2": "SUITE 2200",
"city": "ARDEN",
"state": "NC",
"postal_code": "28704",
"telephone_number": "828-213-3118"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MISSION HOSPITALS, INC",
"organizational_subpart": "NO",
"enumeration_date": "2014-09-18",
"last_updated": "2014-11-18",
"status": "A",
"authorized_official_last_name": "HATHAWAY",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "ROBERT",
"authorized_official_title_or_position": "CMO",
"authorized_official_telephone_number": "828-213-0499",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2083X0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Preventive Medicine, Occupational Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Mission WorkWell",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Arden, NC
- Mission Community Anesthesiology Specialists LLC
- Mission Community Anesthesiology Specialists LLC
- Mission Health Community Multispecialty Providers, LLC
- Mission Hospital Inc
- Mission Hospital, Inc.
- Mission Hospitals, Inc.
- Mission Hospitals, Inc.
- Mission Medical Associates
- Mission Medical Associates Inc
- Mission Medical Associates Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.