MISSION COMMUNITY ANESTHESIOLOGY SPECIALISTS LLC


Address: 310 Long Shoals Rd Ste 110, Arden, NC 28704-8794
Phone: 8282131740

MISSION COMMUNITY ANESTHESIOLOGY SPECIALISTS LLC (NPI# 1255801486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255801486
Entity Type Organization
Organization Name MISSION COMMUNITY ANESTHESIOLOGY SPECIALISTS LLC
Other Organization Name NURSE PRACTITIONER
Practice Address 310 Long Shoals Rd Ste 110
Arden
NC 28704-8794
Mailing Address Po Box 603366
Charlotte
NC 28260-3366
Practice Telephone 8282131740
Mailing Telephone 8282131500
Mailing Fax Number 8286811575
Enumeration Date 2018-11-30
Last Update Date 2018-12-03
Authorized Official Name MARILYN TATHAM (PROVIDER ENROLLMENT MANAGER)
Authorized Official Telephone 8286516595
Authorized Official Credential DO
Is Organization Subpart Y
Parent Organization Name MISSION COMMUNITY ANESTHESIOLOGY SPECIALISTS LLC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NC BC/BS NC 02CG9 01

Other Provider/Organization Names

Other Name Type Code
Nurse Practitioner Other Name - Individual/Organization

Provider Secondary Practice Location

Address Telephone Number Fax Number
89 Medical Park Dr Ste C, Brevard, NC 287123118 8282131740
89 Hospital Dr Ste C, Brevard, NC 287124838 8282131740
89 Hospital Dr Ste A, Brevard, NC 287124838 8282131740
834 Depot St Ste 210, Franklin, NC 287340176 8282131740
800 Medical Campus Dr, Burnsville, NC 287149010 8282131740
691 Blythe Street Ct, Hendersonville, NC 287394095 8282131740
63 Monticello Rd, Weaverville, NC 287879441 8282131740
609 Asheville Hwy, Sylva, NC 287792747 8282131740
57 White Owl Ln, Cashiers, NC 287174514 8282131740
5623 Us 221 S, Marion, NC 287527028 8282131740
56 Medical Park Dr, Franklin, NC 287342632 8282131740
509 Biltmore Ave, Asheville, NC 288014601 8282131740
5 Vanderbilt Park Dr, Asheville, NC 288031700 8282131740
5 Medical Park Dr, Asheville, NC 288032493 8282131740
472 Rankin Dr, Marion, NC 287526568 8282131740
430 Rankin Dr, Marion, NC 287526568 8282131740
428 Biltmore Ave Fl 4, Asheville, NC 288014502 8282131740
428 Biltmore Ave, Asheville, NC 288014502 8282131740
41 Oakland Rd Ste 100, Asheville, NC 288014821 8282131740
409 Tallulah Rd, Robbinsville, NC 287718500 8282131740
387 Us 70 W, Marion, NC 287526202 8282131740
360 Hospital Dr Ste 102, Clyde, NC 287210107 8282131740
339 Nebo School Rd, Nebo, NC 287616848 8282131740
32 E Main St, Old Fort, NC 287620017 8282131740
310 Long Shoals Rd Ste 310, Arden, NC 287048794 8282131740
30 Choctaw St Ste A, Asheville, NC 288014514 8282131740
2695 Hendersonville Rd Ste 204, Arden, NC 287048576 8282131740
260 Hospital Dr, Brevard, NC 287123378 8282131740
21 Hospital Dr Fl 2, Asheville, NC 288014550 8282131740
21 Hospital Dr, Asheville, NC 288014550 8282131740
21 Hospital Dr Fl 4, Asheville, NC 288014550 8282131740
209 Hospital Dr, Highlands, NC 287417623 8282131740
190 Riverview St, Franklin, NC 287342612 8282131740
190 Hospital Dr, Highlands, NC 287417600 8282131740
189 Hospital Dr, Spruce Pine, NC 287773035 8282131740
1633 Sugar Hill Rd Ste 1, Marion, NC 287525239 8282131740
149 W Parker Rd, Morganton, NC 286554673 8282131740
1388 Sand Hill Rd, Candler, NC 287158937 8282131740
125 Hospital Dr, Spruce Pine, NC 287773035 8282131740
120 Riverview St, Franklin, NC 287342612 8282131740
11 Vanderbilt Park Dr, Asheville, NC 288031700 8282131740
100 Victoria Rd, Asheville, NC 288014812 8282131740
100 Ridgefield Ct, Asheville, NC 288062270 8282131740
1 Hospital Dr Ste 4100, Asheville, NC 288014550 8282131740
1 Hospital Dr Ste 3400, Asheville, NC 288014550 8282131740

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1013487248 Mission Community Anesthesiology Specialists LLC Radiology 534 Biltmore Ave Ste 110, Asheville, NC 28801-4607 2018-11-30
1598235830 Mission Community Anesthesiology Specialists LLC Anesthesiology 89 Hospital Dr Ste C, Brevard, NC 28712-4838 2018-11-29
1841760238 Mission Community Anesthesiology Specialists LLC Pediatrics 2695 Hendersonville Rd Ste 206, Arden, NC 28704-8576 2018-11-28
1790255917 Mission Community Anesthesiology Specialists LLC Internal Medicine 900 Hendersonville Rd Ste 205, Asheville, NC 28803-1753 2018-11-30
1619447828 Mission Community Anesthesiology Specialists LLC Family Medicine 310 Long Shoals Rd Ste 110, Arden, NC 28704-8794 2018-11-30
1437629664 Mission Community Anesthesiology Specialists LLC Psychiatry & Neurology 890 Hendersonville Rd Ste 200, Asheville, NC 28803-2997 2018-11-30
1336619576 Mission Community Anesthesiology Specialists LLC Oral & Maxillofacial Surgery 1 Hospital Dr Ste 3400, Asheville, NC 28801-4550 2018-11-30
1396215539 Mission Community Anesthesiology Specialists LLC Surgery 222 Asheland Ave, Asheville, NC 28801-4016 2018-11-30
1518437722 Mission Community Anesthesiology Specialists LLC Hospitalist 534 Biltmore Ave, Asheville, NC 28801-4610 2018-11-30
1235609470 Mission Community Anesthesiology Specialists LLC Urology 100 Victoria Rd, Asheville, NC 28801-4812 2018-11-30

Office Location

Street Address 310 LONG SHOALS RD STE 110
City ARDEN
State NC
Zip Code 28704-8794

Providers in the same location

NPI Name Taxonomy Address Enumeration
1326209933 Sarah Jane Schopbach Nurse Practitioner 310 Long Shoals Rd Ste 110, Arden, NC 28704-8794 2008-06-17
1619447828 Mission Community Anesthesiology Specialists LLC Family Medicine 310 Long Shoals Rd Ste 110, Arden, NC 28704-8794 2018-11-30
1366912586 Mission Health Community Multispecialty Providers, LLC Internal Medicine 310 Long Shoals Rd Ste 110, Arden, NC 28704-8794 2018-11-30
1386012094 Kristin Brzycki Nurse Practitioner 310 Long Shoals Rd Ste 110, Arden, NC 28704-8794 2015-09-11
1558617910 Ashley Marie Mores Physician Assistant 310 Long Shoals Rd Ste 110, Arden, NC 28704-8794 2012-08-02
1417187170 Kristen M Ranzenberger Preventive Medicine 310 Long Shoals Rd Ste 110, Arden, NC 28704-8794 2009-07-15
1669618369 David Frank Stegall Physician Assistant 310 Long Shoals Rd Ste 110, Arden, NC 28704-8794 2008-12-30

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1801410949 Lindsey Marie Gates Dentist 226 New Airport Rd Ste 30, Arden, NC 28704 2020-06-04
1669025565 Casey Cho Dds Pllc Dentist 150 Airport Rd. Suite 30, Arden, NC 28704 2019-07-19
1700370913 Eric Seth Shapiro Chiropractor 32 Southwicke Dr, Arden, NC 28704 2018-06-20
1285180406 Adam Herbst Physical Therapy Assistant 101 Roberts Lake Circle Apt 105, Arden, NC 28704 2016-08-28
1760820013 Dove Shoneman Acupuncturist 600 Julian Lane, Suite 660, Arden, NC 28704 2013-06-10
1710288378 Higher Ground Pediatric Therapy, Pllc Community/Behavioral Health 3749 Sweeten Creek Road Suites 1-2, Arden, NC 28704 2010-11-12
1962642868 Pandora M Hodge Physician Assistant 436 Airport Road, Suite 20, Arden, NC 28704 2009-03-05
1710135009 Wal-mart Stores, Inc. Eyewear Supplier (Equipment, not the service) 60 Airport Rd., Asheville, NC 28704 2008-08-29
1679732598 Patty Ann Dalton Social Worker 126 Locust Court, Arden, NC 28704 2008-06-05
1053501783 Roger A Wallace Psychologist 410 Mills Gap Rd., Arden, NC 28704 2007-07-30
Find all providers in zip 28704

Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750926697 Daniela Zenaida Bonea Nurse Practitioner 200 Julian Shoals Dr Ste 30, Arden, NC 28704-1149 2019-11-14
1326209933 Sarah Jane Schopbach Nurse Practitioner 310 Long Shoals Rd Ste 110, Arden, NC 28704-8794 2008-06-17
1669002051 Ashley L Ruiz Nurse Practitioner 2585 Hendersonville Rd, Arden, NC 28704-9577 2020-01-24
1134695729 Joelle W Falcon Nurse Practitioner 310 Long Shoals Rd Ste 310, Arden, NC 28704-8794 2018-10-22
1881173441 Lauren Hedrick Ware Nurse Practitioner 2585 Hendersonville Rd, Arden, NC 28704-9577 2018-08-14
1255878963 Bethany Brown Perkins Nurse Practitioner 310 Long Shoals Rd Ste 310, Arden, NC 28704-8794 2017-01-20
1386012094 Kristin Brzycki Nurse Practitioner 310 Long Shoals Rd Ste 110, Arden, NC 28704-8794 2015-09-11
1396052965 Julia Elizabeth Hankin Nurse Practitioner 436 Airport Road, Suite 20, Arden, NC 28704 2010-09-02
1861524449 Tracy Morris Ballard Nurse Practitioner 310 Long Shoals Rd, Suite 310, Arden, NC 28704-8794 2007-03-10

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1841891959 Amanda Lou Nester Nurse Practitioner 5293 Wayne Memorial Dr, Goldsboro, NC 27534-7257 2020-11-04
1902406671 Lilly Danielle Appleberry Nurse Practitioner 6005 Clarks Fork Dr, Raleigh, NC 27616-5821 2020-10-30
1457950255 Ronda Kaye Mckinney Nurse Practitioner 27 Resort Dr, Asheville, NC 28806-3815 2020-10-22
1215544986 Tonya Lynn Burris Nurse Practitioner 7810 Providence Rd Ste 102, Charlotte, NC 28226-2987 2020-09-28
1609482280 Deanna Mclamb Nurse Practitioner 3102 Bell Arthur Rd, Greenville, NC 27834-4758 2020-09-19
1548873664 Rosalynn Maria Solis Nurse Practitioner 1407 Regal View Dr, Kernersville, NC 27284-0060 2020-08-28
1003428293 Kashari Davis Nurse Practitioner 4252 Sutwick Dr, Charlotte, NC 28269-6001 2020-08-19
1861003709 Raymond William Meyers Nurse Practitioner 1604 Pelham Rd, Winterville, NC 28590-9131 2020-08-13
1700495553 Evergreen Emmejune Haverkamp Nurse Practitioner 545 Schultz Cir, Newland, NC 28657-7714 2020-07-28
1770191835 Brandy Sampson Nurse Practitioner 2900 Old House Cir, Matthews, NC 28105-7279 2020-07-15
Find all providers with the same taxonomy

Competitor

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City ARDEN
Zip Code 28704

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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