NPIMap

Organization Active NPI

Fryecare Watauga, LLC

Doing business as Mountain Family Medicine

  • Nuclear Cardiology Physician
  • Boone, NC
National Provider Identifier
1902243686
Registry record updated Jun 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Cardiology PhysicianTaxonomy code 207UN0901X
Legal business name
FRYECARE WATAUGA, LLC
Doing business as
Mountain Family Medicine
Practice address
245 Winklers Creek Rd
Ste C
Boone, NC 28607-7838
Phone
(828) 262-1800
Fax
(828) 262-5444
NPI assigned
Jun 4, 2013
Last updated
Jun 8, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2016

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

Authorized official

Name
Mr. Wesley O. James
Title
Regional Cfo, Tenet
Phone
(404) 265-5009

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X
Nuclear Cardiology Physician 207UN0901X Primary

Addresses

Primary practice location

245 Winklers Creek Rd
Ste C
Boone, NC 28607-7838

Mailing address

245 Winklers Creek Rd
Ste C
Boone, NC 28607-7838
Phone (828) 262-1800

Other names 1

  • Mountain Family Medicine Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1370304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465344000000",
    "number": "1902243686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 WINKLERS CREEK RD",
            "address_2": "STE C",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286077838",
            "telephone_number": "828-262-1800",
            "fax_number": "828-262-5444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 WINKLERS CREEK RD",
            "address_2": "STE C",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286077838",
            "telephone_number": "828-262-1800",
            "fax_number": "828-262-5444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRYECARE WATAUGA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-04",
        "last_updated": "2016-06-08",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "REGIONAL CFO, TENET",
        "authorized_official_telephone_number": "404-265-5009",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mountain Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boone, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2016; 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.