NPIMap

Organization Active NPI

Mountain Medical Associates LLP

  • Internal Medicine Physician
  • Clyde, NC
National Provider Identifier
1861463697
Registry record updated Dec 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MOUNTAIN MEDICAL ASSOCIATES LLP
Practice address
600 Hospital Dr
Ste 9
Clyde, NC 28721
Phone
(828) 452-0331
Fax
(828) 456-8726
NPI assigned
Jan 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2007

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

Authorized official

Name
Mr. William David Zalabak Jr.
Title
Administrator
Phone
(828) 452-0331

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

600 Hospital Dr
Ste 9
Clyde, NC 28721

Mailing address

600 Hospital Dr
Ste 9
Clyde, NC 28721
Phone (828) 452-0331

Other identifiers 2

IdentifierTypeStateIssuer
8902173MedicaidNC
02173OtherNCBLUE CROSS/BLUE SHIELD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

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": "1138579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198022400000",
    "number": "1861463697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 HOSPITAL DR",
            "address_2": "STE 9",
            "city": "CLYDE",
            "state": "NC",
            "postal_code": "28721",
            "telephone_number": "828-452-0331",
            "fax_number": "828-456-8726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 HOSPITAL DR",
            "address_2": "STE 9",
            "city": "CLYDE",
            "state": "NC",
            "postal_code": "28721",
            "telephone_number": "828-452-0331",
            "fax_number": "828-456-8726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN MEDICAL ASSOCIATES LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-30",
        "last_updated": "2007-12-19",
        "status": "A",
        "authorized_official_last_name": "ZALABAK",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "828-452-0331",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8902173",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "02173",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clyde, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2007; 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.