Active NPI
Lionel Van Der Westhuizen, M.D.
- Surgery Physician
- Boone, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 2013-00842
- Practice address
- 965 State Farm Rd
Boone, NC 28607-4948 - Phone
- (828) 264-3240
- NPI assigned
- May 28, 2007
- Last updated
- Jun 20, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
Practice addresses (Care Compare)
965 State Farm Rd
Boone, NC 28607-4948
Phone (828) 264-2340
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 20 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 20 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 29 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2013-00842 | NC | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Appalachian Regional Medical Associates, Inc. | Surgery | Current | 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
- lionelvanderwesthuizen@arhs.allscriptsdirect.net
- 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.
-
dba Appalachian Gastroenterology
- Family Medicine Physician
- Boone, NC
- NPI 1669533923
Surgery
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Cannon Inpatient Behavioral Health
- Psychiatric Hospital Unit
- Linville, NC
- NPI 1407006968
-
dba Appalachian Regional Healthcare System
- Critical Access Hospital
- Linville, NC
- NPI 1225088255
-
dba Watauga Medical Center
- General Acute Care Hospital
- Boone, NC
- NPI 1205859766
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
- Ultimate Sleep, Inc (Absolute Comfort on Sale)
- Ashley Underwood, LCMHCA
- Urgent Care of Boone, PC
- Urgent Cares of America North Carolina Inc (Fastmed Urgent Care of Boone)
- Olivia Michal Vallecillo, MA, LCMHC-A
- Jennifer P Van Gilder, MA, CCC, SLP
- Mary Elizabeth Van Huss, LCSW
- Whitney B Van Sant, LICENSED PSYCHOLOGIC
- Hayden Scott Vandenberg, DMD
- Scott L Vandiver, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.