NPIMap

Organization Active NPI

Charles J. Depaolo, M.D, P.a.

  • Specialist
  • Asheville, NC
National Provider Identifier
1861547085
Registry record updated Dec 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
200001253733 Issued in NC
Legal business name
CHARLES J. DEPAOLO, M.D, P.A.
Practice address
3B McDowell St
Asheville, NC 28801-4103
Phone
(828) 225-1920
Fax
(828) 225-1924
NPI assigned
Jan 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2014

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

Authorized official

Name
Gwenn Pemberton Stinnett
Title
Billing Coordinator
Phone
(866) 254-7180

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X 200001253733 NC Primary

Addresses

Primary practice location

3B McDowell St
Asheville, NC 28801-4103

Mailing address

3B McDowell St
Asheville, NC 28801-4103
Phone (828) 225-1920

Other identifiers 1

IdentifierTypeStateIssuer
7928350MedicaidNC

National Provider Directory

National Provider Directory

Locations

3B McDowell St
Asheville, NC 28801
Phone (828) 225-1920

109 Wnc Shopping Ctr
Black Mountain, NC 28711
Phone (828) 357-9050

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8462/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 10

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": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418947200000",
    "number": "1861547085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3B MCDOWELL ST",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288014103",
            "telephone_number": "828-225-1920",
            "fax_number": "828-225-1924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3B MCDOWELL ST",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288014103",
            "telephone_number": "828-225-1920",
            "fax_number": "828-225-1924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES J. DEPAOLO, M.D, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2014-12-19",
        "status": "A",
        "authorized_official_last_name": "STINNETT",
        "authorized_official_first_name": "GWENN",
        "authorized_official_middle_name": "PEMBERTON",
        "authorized_official_title_or_position": "BILLING COORDINATOR",
        "authorized_official_telephone_number": "866-254-7180"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NC",
            "license": "200001253733",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7928350",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2014; 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.