Active NPI
Park Hill Medicine, PA
- Internal Medicine Physician
- Hendersonville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- PARK HILL MEDICINE, PA
- Practice address
- 510 Park Hill Court
Hendersonville, NC 28739-4265 - Phone
- (828) 697-1177
- NPI assigned
- Nov 4, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Bonnie Wooton
- Title
- Office Adm
- Phone
- (828) 697-1177
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
510 Park Hill Court
Hendersonville, NC 28739-4265
Mailing address
510 Park Hill Court
Hendersonville, NC 28739-4265
Phone (828) 697-1177
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D2091819 | Park Hill Medicine, PA | Certificate of waiver | Feb 19, 2027 |
National Provider Directory
National Provider DirectoryLocations
1820 Pisgah Dr
Hendersonvlle, NC 28791
Phone (828) 662-4988
510 Park Hill Ct
Hendersonvlle, NC 28739
Phone (828) 697-1177
290 Clear Creek Rd
Hendersonvlle, NC 28792
Phone (828) 692-6000
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Hendersonville, NC
- NPI 1346264900
-
- Family Nurse Practitioner
- Hendersonville, NC
- NPI 1548714223
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383523200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1383696000000",
"number": "1598194284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 PARK HILL COURT",
"city": "HENDERSONVILLE",
"state": "NC",
"postal_code": "287394265",
"telephone_number": "828-697-1177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 PARK HILL COURT",
"city": "HENDERSONVILLE",
"state": "NC",
"postal_code": "287394265",
"telephone_number": "828-697-1177"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARK HILL MEDICINE, PA",
"organizational_subpart": "NO",
"enumeration_date": "2013-11-04",
"last_updated": "2013-11-06",
"status": "A",
"authorized_official_last_name": "WOOTON",
"authorized_official_first_name": "BONNIE",
"authorized_official_title_or_position": "OFFICE ADM",
"authorized_official_telephone_number": "828-697-1177",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Nov 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.