Organization Active NPI

Mountain Neurosurgical & Spine Center PA

  • Neurological Surgery Physician
  • Hendersonville, NC
National Provider Identifier
1811168065
Registry record updated Mar 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
5902748MedicaidNC

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.