Interventional Pain Services of Western North Carolina, PLLC

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

License

30531 Issued in NC

Legal business name

INTERVENTIONAL PAIN SERVICES OF WESTERN NORTH CAROLINA, PLLC

Practice address

24 Falcon Crest LN
Clyde, NC 28721-6620

Phone

(828) 627-9998

Fax

(828) 627-9946

NPI assigned

Aug 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Allan Norman Zacher III, MD

Title

Medical Director

Phone

(828) 627-9998

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191542400000",
    "number": "1629261565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 FALCON CREST LN",
            "city": "CLYDE",
            "state": "NC",
            "postal_code": "287216620",
            "telephone_number": "828-627-9998",
            "fax_number": "828-627-9946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 FALCON CREST LN",
            "city": "CLYDE",
            "state": "NC",
            "postal_code": "287216620",
            "telephone_number": "828-627-9998",
            "fax_number": "828-627-9946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERVENTIONAL PAIN SERVICES OF WESTERN NORTH CAROLINA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-23",
        "last_updated": "2007-10-05",
        "status": "A",
        "authorized_official_last_name": "ZACHER",
        "authorized_official_first_name": "ALLAN",
        "authorized_official_middle_name": "NORMAN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "828-627-9998",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "NC",
            "license": "30531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891349F",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1790761096",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Debera L Huderly, M.D.
• Claire Hug, AUD
• Lawson Zebul Hunley, DO
• Sidney Nathan Indgin, MD
• Sally Regina Inglesby-Schaefer, CNM
• Vicki W. James, RN
• Richard Allen Jenkins, PTA
• Sylvia Pecyna Jernigan, DDS
• John M. Highsmith, DDS, PA
• Allison Evans Johnson, M.D.

• Pain Clinic/Center in Clyde, NC
• Providers in Clyde, NC by specialty
• Pain Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.