Appalachian Regional Medical Associates
Organization Active NPI Rheumatology Physician · Boone, NC
NPI 1639316151 · NPPES record last updated Jan 17, 2025
Key facts
- NPI
- 1639316151
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rheumatology Physician 207RR0500X
- Legal business name
- APPALACHIAN REGIONAL MEDICAL ASSOCIATES
- Practice address
- 2146 Blowing Rock Rd Ste B
Boone, NC 28607-6154 - Phone
- (828) 263-5506
- Fax
- (828) 263-8726
- NPI assigned
- Jan 21, 2009
- Organization subpart
- Yes
- Parent organization (as reported)
- APPALACHIAN REGIONAL MEDICAL ASSOCIATES
Authorized official
- Name
- Ms. Mary Etta Long
- Title
- Sr. VP Medical Staff Relations
- Phone
- (828) 262-4133
Corporate family (same tax ID) 21
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D2299061 | Appalachian Regional Rheumatology | Certificate of waiver | Feb 12, 2028 |
National Provider Directory
- Tax ID family
- Appalachian Regional Medical Associates Inc
- Part of
- Appalachian Regional Medical Associates Inc
Locations
400 Shadowline Dr
Ste 7
Boone, NC 28607
2146 Blowing Rock Rd
Ste B
Boone, NC 28607
Phone (828) 263-5506
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | Yes |
Addresses
Primary practice location
2146 Blowing Rock Rd Ste B
Boone, NC 28607-6154
Mailing address
155 Furman Rd
Suite 7
Boone, NC 28607-5049
Phone (828) 262-9127
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5907785 | Medicaid | NC |
Other names
- APPALACHIAN REGIONAL RHEUMATOLOGY
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Cobius Healthcare Solutions |
Other providers in Boone, NC
- Appalachian Regional Medical Associates
- Appalachian Regional Medical Associates
- Appalachian Regional Medical Associates
- Appalachian Regional Medical Associates
- Appalachian Regional Medical Associates
- Appalachian Regional Medical Associates
- Appalachian Regional Medical Associates
- Appalachian Regional Medical Associates Inc
- Appalachian Regional Medical Associates Inc
- Appalachian Regional Medical Associates Inc
All providers in Boone, NC · Rheumatology Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 17, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.