Mission Community Anesthesiology Specialists LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MISSION COMMUNITY ANESTHESIOLOGY SPECIALISTS LLC

Practice address

310 Long Shoals Rd Ste 110
Arden, NC 28704-8794

Phone

(828) 213-1740

NPI assigned

Nov 30, 2018

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 1

Addresses

Other identifiers 1

Other names 1

• Family Medicine 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

  • Pediatrics Physician
  • Asheville, NC
  • NPI 1508336157

  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

Tax ID family

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

Part of

Mission Community Anesthesiology Specialists 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

  • Pediatrics Physician
  • Asheville, NC
  • NPI 1508336157
  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

Locations

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joy Imperial De Guzman, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Asheville, NC
  • NPI 1841466422
  NPD
• Tania Clarice Diaz, M.D.

  • Internal Medicine Physician
  • Arden, NC
  • NPI 1396181251
  NPD
• Christina Earley

  • Clinical Social Worker
  • Asheville, NC
  • NPI 1770926842
  NPD
• Tracy S Hoornstra, CRNA

  • Certified Registered Nurse Anesthetist
  • Asheville, NC
  • NPI 1922182344
  NPD
• James George Lamphear, MD, PHD

  • Pediatric Gastroenterology Physician
  • Asheville, NC
  • NPI 1144202235
  NPD
• Brooke Taylor Nelson, PA

  • Physician Assistant
  • Asheville, NC
  • NPI 1902067242
  NPD
• Stacy L Pyburn, PA-C

  • Physician Assistant
  • Flat Rock, NC
  • NPI 1588966881
  NPD
• Jeanne Schlesinger, NP

  • Family Nurse Practitioner
  • Candler, NC
  • NPI 1528475985
  NPD
• Nancy Winebarger, P.A.

  • Physician Assistant
  • Weaverville, NC
  • NPI 1427041532
  NPD
• Matthew W Moody, CRNA

  • Certified Registered Nurse Anesthetist
  • Seattle, WA
  • NPI 1437408671
  NPD

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

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            "country_code": "US",
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            "country_name": "United States",
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            "address_1": "190 Riverview St",
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            "country_code": "US",
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        {
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            "address_1": "209 Hospital Dr Ste 303",
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        },
        {
            "address_1": "260 Hospital Dr",
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            "telephone_number": "828-213-1740",
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        {
            "address_1": "2695 Hendersonville Rd Ste 204",
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            "address_1": "310 Long Shoals Rd Ste 310",
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            "address_1": "310 Long Shoals Rd Ste 320",
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            "address_1": "1388 Sand Hill Rd",
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            "country_name": "United States",
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            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
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            "state": "NC",
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            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
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            "postal_code": "287616848",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
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            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
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            "state": "NC",
            "postal_code": "287128874",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
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            "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": "41 Oakland Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288014821",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "428 Biltmore Ave",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288014502",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "430 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": "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": "5 Vanderbilt Park Dr",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288031700",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "509 Biltmore Ave",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288014601",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "56 Medical Park Dr Ste 203",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "NC",
            "postal_code": "287342634",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5623 US 221 S",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "NC",
            "postal_code": "287527028",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "57 White Owl Ln",
            "address_purpose": "LOCATION",
            "city": "Cashiers",
            "state": "NC",
            "postal_code": "287174514",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "63 Monticello Rd",
            "address_purpose": "LOCATION",
            "city": "Weaverville",
            "state": "NC",
            "postal_code": "287879441",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "66 Sweeten Creek Road",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288031700",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "711 New Leicester Hwy",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288061048",
            "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",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "88 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Spruce Pine",
            "state": "NC",
            "postal_code": "287778943",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "360 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Clyde",
            "state": "NC",
            "postal_code": "287210107",
            "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": "2018-11-30",
        "last_updated": "2018-12-03",
        "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": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS NC",
            "identifier": "02CG9",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Medicine",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Family Medicine",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Migun of Asheville, Inc.
• Christine J Miles, LCSW
• Jordan Zachary Miller
• Steven Miller, PTA
• Mission Community Anesthesiology Specialists LLC
• Mission Community Anesthesiology Specialists LLC
• Mission Health Community Multispecialty Providers, LLC
• Mission Hospital Inc
• Mission Hospital, Inc.
• Mission Hospitals, Inc

• All providers in Arden, NC
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.