NPIMap

Organization Active NPI

Mountaincare Urology

  • Urology Physician
  • Sylva, NC
National Provider Identifier
1750486734
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
MOUNTAINCARE UROLOGY
Practice address
81 Medical Park Loop
Suite 204
Sylva, NC 28779-5291
Phone
(828) 586-7820
Fax
(828) 586-7821
NPI assigned
Sep 14, 2006
Last updated
Apr 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

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

Authorized official

Name
Jerome M Marchuk, MD
Title
Owner
Phone
(828) 586-7820

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X NU Primary

Addresses

Primary practice location

81 Medical Park Loop
Suite 204
Sylva, NC 28779-5291

Mailing address

PO Box 1052
Sylva, NC 28779-1052
Phone (828) 586-7820

Other identifiers 2

IdentifierTypeStateIssuer
5905746MedicaidNC
018W0OtherNCBLUE CROSS

National Provider Directory

National Provider Directory

Locations

45 Plateau St
Ste 240
Bryson City, NC 28713
Phone (828) 488-4243

Practitioners & affiliated clinicians

Practitioners 3

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": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1750486734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1052",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287791052",
            "telephone_number": "828-586-7820",
            "fax_number": "828-586-7821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 MEDICAL PARK LOOP",
            "address_2": "SUITE 204",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287795291",
            "telephone_number": "828-586-7820",
            "fax_number": "828-586-7821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAINCARE UROLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "MARCHUK",
        "authorized_official_first_name": "JEROME",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-586-7820",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5905746",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "018W0",
            "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 Apr 22, 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.