Organization Active NPI

Mountain Regional Urology

  • Urology Physician
  • Asheville, NC
National Provider Identifier
1447383047
Registry record updated May 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
9700526 Issued in NC
Legal business name
MOUNTAIN REGIONAL UROLOGY
Practice address
2 Graystone Rd
Asheville, NC 28804-1320
Phone
(828) 350-8592
Fax
(828) 225-6886
NPI assigned
Mar 13, 2007
Last updated
May 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2008

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

Authorized official

Name
John David Deholl Jr., M.D.
Title
Urologist
Phone
(828) 369-4283

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 9700526 NC Primary

Addresses

Primary practice location

2 Graystone Rd
Asheville, NC 28804-1320

Mailing address

2 Graystone Rd
Asheville, NC 28804-1320
Phone (828) 350-8592

Other identifiers 1

IdentifierTypeStateIssuer
891049JMedicaidNC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211414400000",
    "number": "1447383047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 GRAYSTONE RD",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288041320",
            "telephone_number": "828-350-8592",
            "fax_number": "828-225-6886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 GRAYSTONE RD",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288041320",
            "telephone_number": "828-350-8592",
            "fax_number": "828-225-6886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN REGIONAL UROLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2008-05-22",
        "status": "A",
        "authorized_official_last_name": "DEHOLL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "UROLOGIST",
        "authorized_official_telephone_number": "828-369-4283",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NC",
            "license": "9700526",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891049J",
            "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 May 22, 2008; 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.