Organization Active NPI

Ppadwvl LLC

  • Family Medicine Physician
  • Weaverville, NC
National Provider Identifier
1447919196
Registry record updated Dec 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PPADWVL LLC
Practice address
3 N Main St
Weaverville, NC 28787-9427
Phone
(828) 713-9626
Fax
(828) 484-8956
NPI assigned
Dec 9, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2021

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

Authorized official

Name
Andrew Stoker, PHARMD
Title
Co Owner/Authorized Official
Phone
(828) 575-6421

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

3 N Main St
Weaverville, NC 28787-9427

Mailing address

3 N Main St
Weaverville, NC 28787-9427
Phone (828) 713-9626

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2245059Ppadwvl LLC3 North Main St, Weaverville, NC 28787Certificate of waiverDec 7, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1639008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639008000000",
    "number": "1447919196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 N MAIN ST",
            "city": "WEAVERVILLE",
            "state": "NC",
            "postal_code": "287879427",
            "telephone_number": "828-713-9626",
            "fax_number": "828-484-8956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 N MAIN ST",
            "city": "WEAVERVILLE",
            "state": "NC",
            "postal_code": "287879427",
            "telephone_number": "828-713-9626",
            "fax_number": "828-484-8956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PPADWVL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-09",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A",
        "authorized_official_last_name": "STOKER",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "CO OWNER/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "828-575-6421",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weaverville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.