NPIMap

Organization Active NPI

Mission Community Anesthesiology Specialists LLC

  • Medical Oncology Physician
  • Asheville, NC
National Provider Identifier
1962972299
Registry record updated Dec 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
Legal business name
MISSION COMMUNITY ANESTHESIOLOGY SPECIALISTS LLC
Practice address
100 Ridgefield CT
Asheville, NC 28806-2270
Phone
(828) 213-1740
NPI assigned
Nov 29, 2018
Last updated
Dec 3, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
MISSION COMMUNITY ANESTHESIOLOGY SPECIALISTS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 3, 2018

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

Authorized official

Name
Marilyn Tatham
Title
Provider Enrollment Manager
Phone
(828) 651-6595

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician 207RX0202X NU Primary

Addresses

Primary practice location

100 Ridgefield CT
Asheville, NC 28806-2270

Mailing address

PO Box 603366
Charlotte, NC 28260-3366
Phone (828) 213-1500

Other practice location 1

89 Hospital Dr Ste A
Brevard, NC 28712-4838
Phone (828) 213-1740

Other practice location 2

21 Hospital Dr Fl 4
Asheville, NC 28801-4550
Phone (828) 213-1740

Other practice location 3

834 Depot St Ste 210
Franklin, NC 28734-0176
Phone (828) 213-1740

Other practice location 4

609 Asheville Hwy
Sylva, NC 28779-2747
Phone (828) 213-1740

Other practice location 5

125 Hospital Dr
Spruce Pine, NC 28777-3035
Phone (828) 213-1740

Other practice location 6

21 Hospital Dr Fl 2
Asheville, NC 28801-4550
Phone (828) 213-1740

Other practice location 7

430 Rankin Dr
Marion, NC 28752-6568
Phone (828) 213-1740

Other practice location 8

472 Rankin Dr
Marion, NC 28752-6568
Phone (828) 213-1740

Other identifiers 1

IdentifierTypeStateIssuer
02CG9OtherNCBC/BS NC

Other names 1

  • Oncology Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160426001883 NC Part B Supplier - Clinic/Group Practice 9537468574 Receives reassigned benefits from 953 practitioners
27 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

Other NPIs on the same Medicare enrollment 25

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 25

National Provider Directory

National Provider Directory
Part of
Mission Health Community Multispecialty Providers LLC

Locations

100 Ridgefield Ct
Asheville, NC 28806
Phone (828) 670-8403

21 Hospital Dr
Fl 2
Asheville, NC 28801
Phone (828) 213-2500

900 Hendersonville Rd
Ste 205
Asheville, NC 28803
Phone (828) 213-9880

89 Hospital Dr
Ste A
Brevard, NC 28712
Phone (828) 862-6368

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1543449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543795200000",
    "number": "1962972299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 603366",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282603366",
            "telephone_number": "828-213-1500",
            "fax_number": "828-681-1575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 RIDGEFIELD CT",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288062270",
            "telephone_number": "828-213-1740"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "89 Hospital Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Brevard",
            "state": "NC",
            "postal_code": "287124838",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21 Hospital Dr Fl 4",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288014550",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "834 Depot St Ste 210",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "NC",
            "postal_code": "287340176",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "609 Asheville Hwy",
            "address_purpose": "LOCATION",
            "city": "Sylva",
            "state": "NC",
            "postal_code": "287792747",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "125 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Spruce Pine",
            "state": "NC",
            "postal_code": "287773035",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21 Hospital Dr Fl 2",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288014550",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "430 Rankin Dr",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "NC",
            "postal_code": "287526568",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "472 Rankin Dr",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "NC",
            "postal_code": "287526568",
            "country_code": "US",
            "telephone_number": "828-213-1740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MISSION COMMUNITY ANESTHESIOLOGY SPECIALISTS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MISSION COMMUNITY ANESTHESIOLOGY SPECIALISTS LLC",
        "enumeration_date": "2018-11-29",
        "last_updated": "2018-12-03",
        "status": "A",
        "authorized_official_last_name": "TATHAM",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_title_or_position": "PROVIDER ENROLLMENT MANAGER",
        "authorized_official_telephone_number": "828-651-6595"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS NC",
            "identifier": "02CG9",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oncology",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Oncology",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 3, 2018; 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.

Verify at the official NPI Registry.