Organization Active NPI

Western Carolina Pulmonary & Critical Care, PLLC

  • Pulmonary Disease Physician
  • Sylva, NC
National Provider Identifier
1740267897
Registry record updated Oct 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
WESTERN CAROLINA PULMONARY & CRITICAL CARE, PLLC
Practice address
186 Medical Park Loop
Suite 503
Sylva, NC 28779-5222
Phone
(828) 586-7994
Fax
(828) 586-7340
NPI assigned
Dec 29, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2007

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

Authorized official

Name
Dr. Waverly Sydnor Green III, MD
Title
Partner
Phone
(828) 586-7794

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X Primary

Addresses

Primary practice location

186 Medical Park Loop
Suite 503
Sylva, NC 28779-5222

Mailing address

186 Medical Park Loop
Suite 503
Sylva, NC 28779-5222
Phone (828) 586-7994

Other identifiers 2

IdentifierTypeStateIssuer
89015FWMedicaidNC
015FWOtherNCBLUE CROSS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192752000000",
    "number": "1740267897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 MEDICAL PARK LOOP",
            "address_2": "SUITE 503",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287795222",
            "telephone_number": "828-586-7994",
            "fax_number": "828-586-7340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 MEDICAL PARK LOOP",
            "address_2": "SUITE 503",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287795222",
            "telephone_number": "828-586-7994",
            "fax_number": "828-586-7340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN CAROLINA PULMONARY & CRITICAL CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-29",
        "last_updated": "2007-10-19",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "WAVERLY",
        "authorized_official_middle_name": "SYDNOR",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "828-586-7794",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89015FW",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "015FW",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylva, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.