Mountaineer Medical Services, PLLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

MOUNTAINEER MEDICAL SERVICES, PLLC

Practice address

838 State Farm Rd Ste 2
Boone, NC 28607-5391

Phone

(828) 386-1001

NPI assigned

Aug 15, 2011

Last updated

Aug 15, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Thomas ChurchNPI 1003041534

Title

Administrator

Phone

(828) 386-1001

Specialties & licenses 1

Addresses

Locations

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.

• Thomas Gary Church, FNP.BC

  • Nurse Practitioner
  • Hudson, NC
  • NPI 1003041534
  Authorized official Same address or phone
• Gina M Caravaglia, DO

  • Addiction Medicine (Family Medicine) Physician
  • Cathedral City, CA
  • NPI 1538147459
  NPD
• Benjamin B Fann, MD

  • General Practice Physician
  • Boone, NC
  • NPI 1255315560
  NPD (past)

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

{
    "created_epoch": "1313366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313366400000",
    "number": "1760761258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "838 STATE FARM RD STE 2",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286075391",
            "telephone_number": "828-386-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "838 STATE FARM RD STE 2",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286075391",
            "telephone_number": "828-386-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAINEER MEDICAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-15",
        "last_updated": "2011-08-15",
        "status": "A",
        "authorized_official_last_name": "CHURCH",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "828-386-1001",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Motionatomy, PLLC (B3 Therapy, PLLC)
• Jamie Lynn Moul
• Mountain Care Facilities
• Mountain Family Medicine
• Mountain Laurel Family Practice, PLLC
• MSP Boone Clinic, PLLC
• Edith N Mubanda, RD.,LDN
• Howard Warren Mueller, M.D., PH.D.
• Carmen Danielle Mullen, PT
• Markus Muller, RPH

• General Practice Physician in Boone, NC
• Providers in Boone, NC by specialty
• General Practice Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2011; 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.