Organization Active NPI

Western Carolina Neurology PLLC

  • Neurology Physician
  • Hendersonville, NC
National Provider Identifier
1689731846
Registry record updated Apr 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
200601663 Issued in NC
Legal business name
WESTERN CAROLINA NEUROLOGY PLLC
Practice address
709 North Justice St
Suite D
Hendersonville, NC 28791-3454
Phone
(828) 696-8881
Fax
(828) 696-8874
NPI assigned
Jan 3, 2007
Last updated
Apr 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2008

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

Authorized official

Name
Dr. Mark A. Mandelbaum, MD
Title
Owner
Phone
(828) 696-8881

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 200601663 NC Primary

Addresses

Primary practice location

709 North Justice St
Suite D
Hendersonville, NC 28791-3454

Mailing address

709 North Justice St
Suite D
Hendersonville, NC 28791-3454
Phone (828) 696-8881

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209340800000",
    "number": "1689731846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 NORTH JUSTICE ST",
            "address_2": "SUITE D",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287913454",
            "telephone_number": "828-696-8881",
            "fax_number": "828-696-8874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 NORTH JUSTICE ST",
            "address_2": "SUITE D",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287913454",
            "telephone_number": "828-696-8881",
            "fax_number": "828-696-8874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN CAROLINA NEUROLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2008-04-28",
        "status": "A",
        "authorized_official_last_name": "MANDELBAUM",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-696-8881",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NC",
            "license": "200601663",
            "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 Apr 28, 2008; 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.