Active NPI
Mountain Neurosurgical & Spine Center PA
- Neurological Surgery Physician
- Hendersonville, NC
National Provider Identifier
1811168065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- Legal business name
- MOUNTAIN NEUROSURGICAL & SPINE CENTER PA
- Practice address
- 511 6TH Ave W
Hendersonville, NC 28739-3501 - Phone
- (828) 692-2099
- Fax
- (828) 692-2799
- NPI assigned
- Mar 17, 2008
- Last updated
- Mar 17, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Keith Fleming
- Title
- Ceo
- Phone
- (828) 225-7776
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | NU | Primary | |
| Neurology Physician | 2084N0400X | NU |
Addresses
Primary practice location
511 6TH Ave W
Hendersonville, NC 28739-3501
Mailing address
PO Box 25370
Asheville, NC 28813-1370
Phone (828) 255-7776
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5902748 | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
511 6th Ave W
Hendersonvlle, NC 28739
Phone (828) 692-2099
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205712000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1205712000000",
"number": "1811168065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 25370",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288131370",
"telephone_number": "828-255-7776",
"fax_number": "828-274-5134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "511 6TH AVE W",
"city": "HENDERSONVILLE",
"state": "NC",
"postal_code": "287393501",
"telephone_number": "828-692-2099",
"fax_number": "828-692-2799"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOUNTAIN NEUROSURGICAL & SPINE CENTER PA",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-17",
"last_updated": "2008-03-17",
"status": "A",
"authorized_official_last_name": "FLEMING",
"authorized_official_first_name": "KEITH",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "828-225-7776"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5902748",
"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 17, 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.