Organization Active NPI

Western Carolina Neurology

  • Neurology Physician
  • Hendersonville, NC
National Provider Identifier
1972744266
Registry record updated Mar 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
200601663 Issued in NC
Legal business name
WESTERN CAROLINA NEUROLOGY
Practice address
709 N Justice St
Suite D
Hendersonville, NC 28791-3454
Phone
(828) 696-8881
Fax
(828) 696-8874
NPI assigned
Mar 16, 2009
Last updated
Mar 16, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2009

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

Authorized official

Name
Dr. Mark Alon Mandelbaum, MDNPI 1629033428
Title
Sole MBR
Phone
(828) 636-8881

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 200601663 NC Primary

Addresses

Primary practice location

709 N Justice St
Suite D
Hendersonville, NC 28791-3454

Mailing address

55 Medical Park Dr
Suite 104
Franklin, NC 28734-2651
Phone (828) 696-8881

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1237161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237161600000",
    "number": "1972744266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 MEDICAL PARK DR",
            "address_2": "SUITE 104",
            "city": "FRANKLIN",
            "state": "NC",
            "postal_code": "287342651",
            "telephone_number": "828-696-8881",
            "fax_number": "828-696-8874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 N JUSTICE ST",
            "address_2": "SUITE D",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287913454",
            "telephone_number": "828-696-8881",
            "fax_number": "828-696-8874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN CAROLINA NEUROLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-16",
        "last_updated": "2009-03-16",
        "status": "A",
        "authorized_official_last_name": "MANDELBAUM",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ALON",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "828-636-8881",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NC",
            "license": "200601663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2009; 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.