Richard Lee Wayne, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

102994 Issued in NC

Practice address

57 White Owl LN
Cashiers, NC 28717-4514

Phone

(828) 743-2491

Fax

(828) 743-3060

NPI assigned

Jun 29, 2006

Last updated

May 10, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mountain Area Family Medicine, PA

  • Primary Care Clinic/Center
  • Cashiers, NC
  • NPI 1285722801
  NPD

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462838400000",
    "number": "1801824784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 602373",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282602373",
            "telephone_number": "828-526-1280",
            "fax_number": "828-526-1285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 WHITE OWL LN",
            "city": "CASHIERS",
            "state": "NC",
            "postal_code": "287174514",
            "telephone_number": "828-743-2491",
            "fax_number": "828-743-3060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAYNE",
        "first_name": "RICHARD",
        "middle_name": "LEE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2016-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "102994",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "102994",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "NC2041A194",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tadaar, P.a. (Mountain Air Wellness Centers)
• Tadaarnc PLLC (Cashiers Chiropractic)
• William Scott Thurman, RPH
• Laurie Vanderwiele
• Stephen Bruce Walker, DDS
• WNC Speech Pathology, PLLC
• Mark Stephen Zachary, B.S., R.PH.

• Physician Assistant in Cashiers, NC
• Providers in Cashiers, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2016; 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.