NPIMap

Organization Active NPI

Haywood Regional Medical Center

  • Urology Physician
  • Clyde, NC
National Provider Identifier
1902104565
Registry record updated Jul 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
HAYWOOD REGIONAL MEDICAL CENTER
Practice address
15 Brettwood Trce
Clyde, NC 28721-8021
Phone
(828) 452-9700
Fax
(828) 452-3701
NPI assigned
Mar 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2013

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

Authorized official

Name
Michael D McKnight
Title
Cfo
Phone
(828) 452-8210

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X Primary
Medical Specialty Clinic/Center 261QM2500X

Addresses

Primary practice location

15 Brettwood Trce
Clyde, NC 28721-8021

Mailing address

15 Brettwood Trce
Clyde, NC 28721-8021
Phone (828) 452-9700

Other names 1

  • Blue Mountain Urology Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1299456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373500800000",
    "number": "1902104565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 BRETTWOOD TRCE",
            "city": "CLYDE",
            "state": "NC",
            "postal_code": "287218021",
            "telephone_number": "828-452-9700",
            "fax_number": "828-452-3701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 BRETTWOOD TRCE",
            "city": "CLYDE",
            "state": "NC",
            "postal_code": "287218021",
            "telephone_number": "828-452-9700",
            "fax_number": "828-452-3701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAYWOOD REGIONAL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-07",
        "last_updated": "2013-07-11",
        "status": "A",
        "authorized_official_last_name": "MCKNIGHT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "828-452-8210"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blue Mountain Urology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 11, 2013; 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.