Individual provider Active NPI

Lionel Van Der Westhuizen, M.D.

  • Surgery Physician
  • Boone, NC
National Provider Identifier
1306057500
Registry record updated Jun 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
2013-00842 Issued in NC
Practice address
965 State Farm Rd
Boone, NC 28607-4948
Phone
(828) 264-3240
NPI assigned
May 28, 2007
Last updated
Jun 20, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 29764 SC
Surgery Physician 208600000X 2013-00842 NC Primary

Addresses

Primary practice location

965 State Farm Rd
Boone, NC 28607-4948

Mailing address

965 State Farm Rd
Boone, NC 28607-4948
Phone (828) 264-3240

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130624000539 NC Practitioner - General Surgery 1456509306 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Medical College of Georgia School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Appalachian Regional Medical Associates IncGroup PAC ID 5799877817, 147 clinicians

Practice addresses (Care Compare)

965 State Farm Rd
Boone, NC 28607-4948
Phone (828) 264-2340

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy20
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)20
Upper gastrointestinal (GI) endoscopy for acid reflux29
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2013-00842NCMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Appalachian Regional Medical Associates, Inc. Surgery CurrentSince Jan 1, 2018 Accepting new patients

Locations

211 Milton Brown Heirs Rd
Boone, NC 28607
Phone (828) 264-6720

965 State Farm Rd
Boone, NC 28607
Phone (704) 264-2340

Interoperability endpoints

  • Direct secure messaging: lionelvanderwesthuizen@arhs.allscriptsdirect.net
  • Direct secure messaging: lvanderwesthuizen201504@direct.unc.nchie.net

Organizations & group practices 1

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

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1180310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371686400000",
    "number": "1306057500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 STATE FARM RD",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286074948",
            "telephone_number": "828-264-3240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "965 STATE FARM RD",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286074948",
            "telephone_number": "828-264-3240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN DER WESTHUIZEN",
        "first_name": "LIONEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-28",
        "last_updated": "2013-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "SC",
            "license": "29764",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "2013-00842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boone, NC

Sources for this page

Verify at the official NPI Registry.