Individual provider Active NPI

William Gerald Vaassen, PA-C

  • Family Medicine Physician
  • Morganton, NC
National Provider Identifier
1528084290
Registry record updated Aug 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
100045 Issued in NC
Practice address
103 Medical Heights Dr
Morganton, NC 28655-5197
Phone
(828) 437-4211
Fax
(828) 437-1034
NPI assigned
Jul 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 100045 NC Primary

Addresses

Primary practice location

103 Medical Heights Dr
Morganton, NC 28655-5197

Mailing address

103 Medical Heights Dr
Morganton, NC 28655-5197
Phone (828) 437-4211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
100045NCMDCertified Registered Nurse Anesthetist

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187049600000",
    "number": "1528084290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 MEDICAL HEIGHTS DR",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286555197",
            "telephone_number": "828-437-4211",
            "fax_number": "828-437-1034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 MEDICAL HEIGHTS DR",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286555197",
            "telephone_number": "828-437-4211",
            "fax_number": "828-437-1034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAASSEN",
        "first_name": "WILLIAM",
        "middle_name": "GERALD",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2007-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "100045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morganton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2007; 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.