Organization Active NPI

WNC Surgical Associates PLLC

  • Vascular Surgery Physician
  • Hendersonville, NC
National Provider Identifier
1417123712
Registry record updated Feb 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
WNC SURGICAL ASSOCIATES PLLC
Practice address
840 Fleming St
Suite 1
Hendersonville, NC 28791
Phone
(828) 698-0581
Fax
(828) 698-0583
NPI assigned
May 6, 2008
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Brandy Wilson
Title
Practice Manager
Phone
(828) 693-4431

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0129X Primary

Addresses

NPPES NPI Registry

Primary practice location

840 Fleming St
Suite 1
Hendersonville, NC 28791

Mailing address

840 Fleming St
Suite 1
Hendersonville, NC 28791
Phone (828) 698-0581

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
5950079MedicaidNC

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 21, 2012.

{
    "created_epoch": "1210032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329782400000",
    "number": "1417123712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 FLEMING ST",
            "address_2": "SUITE 1",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "28791",
            "telephone_number": "828-698-0581",
            "fax_number": "828-698-0583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 FLEMING ST",
            "address_2": "SUITE 1",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "28791",
            "telephone_number": "828-698-0581",
            "fax_number": "828-698-0583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WNC SURGICAL ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-06",
        "last_updated": "2012-02-21",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "BRANDY",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "828-693-4431"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5950079",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2012; 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.