Mission Community Anesthesiology Specialists LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

MISSION COMMUNITY ANESTHESIOLOGY SPECIALISTS LLC

Practice address

11 Vanderbilt Park Drive
Asheville, NC 28803

Phone

(828) 213-1740

NPI assigned

Nov 27, 2018

Last updated

Dec 5, 2018By the provider in NPPES

Organization subpart

Yes

Parent organization

MISSION COMMUNITY ANESTHESIOLOGY SPECIALISTS LLCAs reported in NPPES

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

Authorized official

Name

Marilyn Tatham

Title

Provider Enrollment Manager

Phone

(828) 651-6595

Specialties & licenses 8

Addresses

Other identifiers 2

Other names 1

• Pediatric Other name

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Other NPIs on the same Medicare enrollment 25

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Mission Community Anesthesiology Specialists LLC

  • Pulmonary Disease Physician
  • Asheville, NC
  • NPI 1023588258

  O20160426001883

  Same enrollment
• Mission Community Anesthesiology Specialists LLC

  • Physician Assistant
  • Asheville, NC
  • NPI 1114497344

  O20160426001883

  Same enrollment
• Mission Community Anesthesiology Specialists LLC

  • Urology Physician
  • Asheville, NC
  • NPI 1235609470

  O20160426001883

  Same enrollment
• Mission Community Anesthesiology Specialists LLC

  • Clinical Social Worker
  • Asheville, NC
  • NPI 1235609538

  O20160426001883

  Same enrollment
• Mission Community Anesthesiology Specialists LLC

  • Nurse Practitioner
  • Arden, NC
  • NPI 1255801486

  O20160426001883

  Same enrollment
• Mission Community Anesthesiology Specialists LLC

  • Vascular Surgery Physician
  • Asheville, NC
  • NPI 1396215539

  O20160426001883

  Same enrollment
• Mission Community Anesthesiology Specialists LLC

  • Neurology Physician
  • Asheville, NC
  • NPI 1437629664

  O20160426001883

  Same enrollment
• Mission Community Anesthesiology Specialists LLC

  • Orthopaedic Surgery Physician
  • Asheville, NC
  • NPI 1467922682

  O20160426001883

  Same enrollment
• Mission Community Anesthesiology Specialists LLC

  • Hospitalist Physician
  • Asheville, NC
  • NPI 1518437722

  O20160426001883

  Same enrollment
• Mission Community Anesthesiology Specialists LLC

  • Obstetrics & Gynecology Physician
  • Asheville, NC
  • NPI 1518437748

  O20160426001883

  Same enrollment
• Mission Community Anesthesiology Specialists LLC

  • Certified Respiratory Therapist
  • Asheville, NC
  • NPI 1528538766

  O20160426001883

  Same enrollment
• Mission Community Anesthesiology Specialists LLC

  • Registered Dietitian
  • Asheville, NC
  • NPI 1538639752

  O20160426001883

  Same enrollment

Tax ID family

Mission Health Community Multispecialty Providers LLC23 organizations share this tax ID, including this one

Part of

Mission Health Community Multispecialty Providers LLC

Other organizations with this tax ID 22

Organizations that report the same tax identification number in the National Provider Directory.

• Mission Community Anesthesiology Specialists LLC

  • Pulmonary Disease Physician
  • Asheville, NC
  • NPI 1023588258
  NPD tax ID
• Mission Community Anesthesiology Specialists LLC

  • Physician Assistant
  • Asheville, NC
  • NPI 1114497344
  NPD tax ID
• Mission Community Anesthesiology Specialists LLC

  • Urology Physician
  • Asheville, NC
  • NPI 1235609470
  NPD tax ID
• Mission Community Anesthesiology Specialists LLC

  • Clinical Social Worker
  • Asheville, NC
  • NPI 1235609538
  NPD tax ID
• Mission Community Anesthesiology Specialists LLC

  • Neurological Surgery Physician
  • Asheville, NC
  • NPI 1255801478
  NPD tax ID
• Mission Community Anesthesiology Specialists LLC

  • Nurse Practitioner
  • Arden, NC
  • NPI 1255801486
  NPD tax ID
• Mission Community Anesthesiology Specialists LLC

  • Vascular Surgery Physician
  • Asheville, NC
  • NPI 1396215539
  NPD tax ID
• Mission Community Anesthesiology Specialists LLC

  • Neurology Physician
  • Asheville, NC
  • NPI 1437629664
  NPD tax ID
• Mission Community Anesthesiology Specialists LLC

  • Orthopaedic Surgery Physician
  • Asheville, NC
  • NPI 1467922682
  NPD tax ID
• Mission Community Anesthesiology Specialists LLC

  • Hospitalist Physician
  • Asheville, NC
  • NPI 1518437722
  NPD tax ID
• Mission Community Anesthesiology Specialists LLC

  • Obstetrics & Gynecology Physician
  • Asheville, NC
  • NPI 1518437748
  NPD tax ID
• Mission Community Anesthesiology Specialists LLC

  • Certified Respiratory Therapist
  • Asheville, NC
  • NPI 1528538766
  NPD tax ID

Locations

Practitioners 14

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.

• John Scott Baker, M.D.

  • Family Medicine Physician
  • Highlands, NC
  • NPI 1407989353
  NPD
• James Adam Graham, MD

  • Pulmonary Disease Physician
  • Asheville, NC
  • NPI 1750378485
  NPD
• Colin Harris III, MSW

  • Clinical Social Worker
  • Asheville, NC
  • NPI 1528477650
  NPD
• Susan Elaine Henson, PA

  • Physician Assistant
  • Asheville, NC
  • NPI 1114094323
  NPD
• Sara Elizabeth Holmes, MS, RD, LDN

  • Registered Dietitian
  • Asheville, NC
  • NPI 1104079433
  NPD
• David A. Humphrey, M.D.

  • Internal Medicine Physician
  • Asheville, NC
  • NPI 1972592301
  NPD
• Meredith W Larrabee, PSYD

  • Psychologist
  • Asheville, NC
  • NPI 1063665883
  NPD
• David F Pope, M.D.

  • Orthopaedic Surgery Physician
  • Asheville, NC
  • NPI 1750304606
  NPD
• Rebekah Smith, NP-C

  • Family Nurse Practitioner
  • Spruce Pine, NC
  • NPI 1720464001
  NPD
• Jana Watts, M.D.

  • Family Medicine Physician
  • Candler, NC
  • NPI 1215934930
  NPD
• Joel Wells Barton, M.D.

  • Anesthesiology Physician
  • Lansing, MI
  • NPI 1174796585
  NPD
• Esther Kia Hallock, CRNA

  • Certified Registered Nurse Anesthetist
  • Albany, NY
  • NPI 1295196624
  NPD

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

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    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543968000000",
    "number": "1508336157",
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            "country_code": "US",
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            "address_1": "PO BOX 603366",
            "city": "CHARLOTTE",
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            "fax_number": "828-681-1575"
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    "practiceLocations": [
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            "address_1": "509 Biltmore Ave",
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        {
            "address_1": "5 Vanderbilt Park Dr",
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        {
            "address_1": "900 Hendersonville Rd Ste 205",
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            "state": "NC",
            "postal_code": "288031753",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9 Vanderbilt Park Dr",
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        {
            "address_1": "387 US 70 W",
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            "state": "NC",
            "postal_code": "287526202",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
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        },
        {
            "address_1": "563 W Main St",
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            "city": "Sylva",
            "state": "NC",
            "postal_code": "287795550",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "472 Rankin Dr",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "NC",
            "postal_code": "287526568",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 Medical Campus Dr",
            "address_purpose": "LOCATION",
            "city": "Burnsville",
            "state": "NC",
            "postal_code": "287149010",
            "country_code": "US",
            "telephone_number": "828-213-1740",
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        {
            "address_1": "6 Brooklet St",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288014505",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
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        {
            "address_1": "409 Tallulah Rd",
            "address_purpose": "LOCATION",
            "city": "Robbinsville",
            "state": "NC",
            "postal_code": "287718500",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "470 Center St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Bryson City",
            "state": "NC",
            "postal_code": "287137752",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
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        },
        {
            "address_1": "5 Vanderbilt Park Dr",
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            "postal_code": "288031700",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "189 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Spruce Pine",
            "state": "NC",
            "postal_code": "287773035",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "378 S Main St",
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            "postal_code": "287524527",
            "country_code": "US",
            "telephone_number": "828-213-1740",
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        {
            "address_1": "119 Hendersonville Rd",
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            "country_code": "US",
            "telephone_number": "828-213-1700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "128 Dr Henry Norris Dr",
            "address_purpose": "LOCATION",
            "city": "Rutherfordton",
            "state": "NC",
            "postal_code": "281393165",
            "country_code": "US",
            "telephone_number": "828-213-1700",
            "country_name": "United States",
            "address_type": "DOM"
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            "address_1": "149 W Parker Rd",
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            "country_code": "US",
            "telephone_number": "828-213-1700",
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            "address_1": "186 Medical Park Loop Ste 501",
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            "postal_code": "287794110",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "310 Long Shoals Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Arden",
            "state": "NC",
            "postal_code": "287048794",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
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            "address_1": "260 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Brevard",
            "state": "NC",
            "postal_code": "287123378",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "339 Nebo School Rd",
            "address_purpose": "LOCATION",
            "city": "Nebo",
            "state": "NC",
            "postal_code": "287616848",
            "country_code": "US",
            "telephone_number": "828-213-1700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "32 E Main St",
            "address_purpose": "LOCATION",
            "city": "Old Fort",
            "state": "NC",
            "postal_code": "287620017",
            "country_code": "US",
            "telephone_number": "828-213-1700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288014550",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "190 Riverview St",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "NC",
            "postal_code": "287342612",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MISSION COMMUNITY ANESTHESIOLOGY SPECIALISTS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MISSION COMMUNITY ANESTHESIOLOGY SPECIALISTS LLC",
        "enumeration_date": "2018-11-27",
        "last_updated": "2018-12-05",
        "status": "A",
        "authorized_official_last_name": "TATHAM",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_title_or_position": "PROVIDER ENROLLMENT MANAGER",
        "authorized_official_telephone_number": "828-651-6595"
    },
    "taxonomies": [
        {
            "code": "207SG0201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Medical Genetics, Clinical Genetics (M.D.)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0203X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0206X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0207X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF NC",
            "identifier": "02CG9",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF NC",
            "identifier": "027N4",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mission Community Anesthesiology Specialists LLC
• Mission Community Anesthesiology Specialists LLC
• Mission Community Anesthesiology Specialists LLC
• Mission Community Anesthesiology Specialists LLC
• Mission Community Anesthesiology Specialists LLC
• Mission Community Anesthesiology Specialists LLC
• Mission Community Anesthesiology Specialists LLC
• Mission Community Anesthesiology Specialists LLC
• Mission Community Anesthesiology Specialists LLC
• Mission Community Anesthesiology Specialists LLC

• Pediatrics Physician in Asheville, NC
• Providers in Asheville, NC by specialty
• Pediatrics Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.