Organization Active NPI

Catawba Valley Primary Care, PLLC

  • Family Medicine Physician
  • Newton, NC
National Provider Identifier
1720161805
Registry record updated Dec 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CATAWBA VALLEY PRIMARY CARE, PLLC
Practice address
2180 Northwest Blvd
Suite a
Newton, NC 28658-3724
Phone
(828) 464-7800
Fax
(828) 464-7825
NPI assigned
Oct 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2009

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

Authorized official

Name
Raymond H Osterer, PHYSICIAN ASSISTANT
Title
Owner
Phone
(828) 464-7800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2180 Northwest Blvd
Suite a
Newton, NC 28658-3724

Mailing address

2180 Northwest Blvd
Suite a
Newton, NC 28658-3724
Phone (828) 464-7800

Other identifiers 2

IdentifierTypeStateIssuer
89011REMedicaidNC
011REOtherNCBCBS GROUP #

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260403200000",
    "number": "1720161805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2180 NORTHWEST BLVD",
            "address_2": "SUITE A",
            "city": "NEWTON",
            "state": "NC",
            "postal_code": "286583724",
            "telephone_number": "828-464-7800",
            "fax_number": "828-464-7825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2180 NORTHWEST BLVD",
            "address_2": "SUITE A",
            "city": "NEWTON",
            "state": "NC",
            "postal_code": "286583724",
            "telephone_number": "828-464-7800",
            "fax_number": "828-464-7825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATAWBA VALLEY PRIMARY CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2009-12-10",
        "status": "A",
        "authorized_official_last_name": "OSTERER",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-464-7800",
        "authorized_official_credential": "PHYSICIAN ASSISTANT"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89011RE",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP #",
            "identifier": "011RE",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2009; 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.