Organization Active NPI

Mountain Podiatry PA

  • Podiatrist
  • Hendersonville, NC
National Provider Identifier
1760443097
Registry record updated Mar 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
446 Issued in NC
Legal business name
MOUNTAIN PODIATRY PA
Practice address
2315 Asheville Hwy
Unit 10
Hendersonville, NC 28791-1500
Phone
(828) 697-8686
Fax
(828) 697-0960
NPI assigned
Mar 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2008

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

Authorized official

Name
Scott Hyman, DPM
Title
Physician
Phone
(828) 697-8686

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 446 NC Primary

Addresses

Primary practice location

2315 Asheville Hwy
Unit 10
Hendersonville, NC 28791-1500

Mailing address

2315 Asheville Hwy
Unit 10
Hendersonville, NC 28791-1500
Phone (828) 697-8686

Other identifiers 2

IdentifierTypeStateIssuer
5905211MedicaidNC
0805JOtherNCBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

1800 Asheville Hwy
Hendersonvlle, NC 28791
Phone (828) 697-8686

2315 Asheville Hwy
Ste 10
Hendersonvlle, NC 28791
Phone (828) 697-8686

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205107200000",
    "number": "1760443097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 ASHEVILLE HWY",
            "address_2": "UNIT 10",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287911500",
            "telephone_number": "828-697-8686",
            "fax_number": "828-697-0960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 ASHEVILLE HWY",
            "address_2": "UNIT 10",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287911500",
            "telephone_number": "828-697-8686",
            "fax_number": "828-697-0960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN PODIATRY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-28",
        "last_updated": "2008-03-10",
        "status": "A",
        "authorized_official_last_name": "HYMAN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "828-697-8686",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NC",
            "license": "446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5905211",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0805J",
            "state": "NC"
        }
    ],
    "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 Mar 10, 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.