Active NPI
Peter A Wallenborn III, M.D.
- Otolaryngology Physician
- Asheville, NC
National Provider Identifier
1972615318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 27865
- Practice address
- 285 McDowell St
Asheville, NC 28803-2606 - Phone
- (828) 252-1853
- Fax
- (828) 259-9468
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 27865 | NC | Primary |
Addresses
Primary practice location
285 McDowell St
Asheville, NC 28803-2606
Mailing address
285 McDowell St
Asheville, NC 28803-2606
Phone (828) 252-1853
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1070343 | Other | UNITED HEALTHCARE | |
| 85517 | Other | NC | BCBSNC |
| 8985517 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| WNC Audiology, PLLC | Past | Accepting new patients | |
| W.N.C. Ear Nose Throat Head and Neck Surgeons, PA | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinic/Center
- Asheville, NC
- NPI 1811944689
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972615318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "285 MCDOWELL ST",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288032606",
"telephone_number": "828-252-1853",
"fax_number": "828-259-9468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "285 MCDOWELL ST",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288032606",
"telephone_number": "828-252-1853",
"fax_number": "828-259-9468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALLENBORN",
"first_name": "PETER",
"middle_name": "A",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "NC",
"license": "27865",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1070343",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSNC",
"identifier": "85517",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8985517",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.