Organization Active NPI

Sylva Pediatric Associates, PA

  • Pediatrics Physician
  • Sylva, NC
National Provider Identifier
1902951858
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
SYLVA PEDIATRIC ASSOCIATES, PA
Practice address
186 Medical Park Loop
Ste 501
Sylva, NC 28779-5222
Phone
(828) 586-5594
Fax
(828) 586-3040
NPI assigned
Jan 23, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Charles H Toledo, M.D.
Title
Vice President
Phone
(828) 586-5594

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

186 Medical Park Loop
Ste 501
Sylva, NC 28779-5222

Mailing address

186 Medical Park Loop
Ste 501
Sylva, NC 28779-5222
Phone (828) 586-5594

Other identifiers 2

IdentifierTypeStateIssuer
8902793MedicaidNC
02793OtherNCBCBS ST OF NC GROUP NO

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902951858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 MEDICAL PARK LOOP",
            "address_2": "STE 501",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287795222",
            "telephone_number": "828-586-5594",
            "fax_number": "828-586-3040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 MEDICAL PARK LOOP",
            "address_2": "STE 501",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287795222",
            "telephone_number": "828-586-5594",
            "fax_number": "828-586-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYLVA PEDIATRIC ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TOLEDO",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "828-586-5594",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8902793",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ST OF NC GROUP NO",
            "identifier": "02793",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylva, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.