Active NPI
Ashe Memorial Hospital Inc
- Certified Registered Nurse Anesthetist
- Jefferson, NC
National Provider Identifier
1952401366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- Legal business name
- ASHE MEMORIAL HOSPITAL INC
- Practice address
- 200 Hospital Ave
Jefferson, NC 28640-9244 - Phone
- (336) 846-7101
- Fax
- (336) 846-0758
- NPI assigned
- Sep 25, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Raymond Draper Williams II
- Title
- Ceo
- Phone
- (336) 846-0790
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | Primary |
Addresses
Primary practice location
200 Hospital Ave
Jefferson, NC 28640-9244
Mailing address
200 Hospital Ave
Jefferson, NC 28640-9244
Phone (336) 846-7101
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8000151 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Other NPIs on the same Medicare enrollment 4
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Pathology Specialist/Technologist
- Jefferson, NC
- NPI 1134229545
O20041029000666
-
- Emergency Medicine Physician
- Jefferson, NC
- NPI 1316045800
O20041029000666
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Jefferson, NC
- NPI 1942761630
-
- Family Medicine Physician
- Jefferson, NC
- NPI 1609221407
-
- Hospitalist Physician
- Jefferson, NC
- NPI 1720220874
-
- Internal Medicine Physician
- Raleigh, NC
- NPI 1598774770
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1952401366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 HOSPITAL AVE",
"city": "JEFFERSON",
"state": "NC",
"postal_code": "286409244",
"telephone_number": "336-846-7101",
"fax_number": "336-846-0758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 HOSPITAL AVE",
"city": "JEFFERSON",
"state": "NC",
"postal_code": "286409244",
"telephone_number": "336-846-7101",
"fax_number": "336-846-0758"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASHE MEMORIAL HOSPITAL INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-25",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "RAYMOND",
"authorized_official_middle_name": "DRAPER",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "336-846-0790",
"authorized_official_name_suffix": "II"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8000151",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jefferson, 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.