LEICESTER MEDICAL CLINIC PC (NPI# 1649399528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649399528 |
| Entity Type | Organization |
| Organization Name | LEICESTER MEDICAL CLINIC PC |
| Practice Address |
304 New Leicester Hwy Suite A Asheville NC 28806 |
| Practice Telephone | 8282554723 |
| Practice Fax Number | 8282554726 |
| Mailing Telephone | 8282554723 |
| Mailing Fax Number | 8282554726 |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. SUSAN WYNN PETERSON (PRESIDENT) |
| Authorized Official Telephone | 8282554723 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | NC | Allopathic & Osteopathic Physicians | |
| Y | 207Q00000X | Family Medicine | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 89129H0 | 05 |
| Street Address |
304 NEW LEICESTER HWY SUITE A |
| City | ASHEVILLE |
| State | NC |
| Zip Code | 28806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861498677 | Damon G Rouse | Physical Therapist | 304 New Leicester Hwy, Ste B, Asheville, NC 28806-2021 | 2005-06-27 |
| 1023598349 | Kayla Elizabeth Byrd | Psychologist | 304 New Leicester Hwy, Asheville, NC 28806-2021 | 2018-08-16 |
| 1730461526 | Elizabeth Hinsley | Physical Therapist | 304 New Leicester Hwy, Asheville, NC 28806-2021 | 2011-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003442989 | Kristen Duchac | Registered Nurse | 711 New Leicester Highway, Appalachian Mountain Community Health Center, Leicester, NC 28806 | 2020-03-23 |
| 1457905994 | Sarah Davidson | Social Worker | 1316 D Patton Ave, Asheville, NC 28806 | 2019-08-01 |
| 1578128880 | Ingles Markets Inc | Pharmacy | 151 Smokey Park Hwy, Asheville, NC 28806 | 2019-05-02 |
| 1215403191 | Heather Lynne Parente | Counselor | 110 Ridgefield Blvd., Suite 190, Asheville, NC 28806 | 2018-10-18 |
| 1790250629 | Kathy Arlene Whiteside | Social Worker | Family Preservation Services, 1316 D Patton Ave, Asheville, NC 28806 | 2018-10-08 |
| 1467947036 | Gabrielle Lahowitch | Social Worker | 44 Robinwood Ave, Asheville, NC 28806 | 2018-06-26 |
| 1205326204 | Elizabeth R Guest | Counselor | 1316d Patton Ave, Asheville, NC 28806 | 2018-05-15 |
| 1285159905 | Austin John Hille | Physical Medicine & Rehabilitation | 400 Landis Ct. #203, Asheville, NC 28806 | 2017-08-03 |
| 1063941458 | Callan White Dds, Pllc | Dentist | 655 Brevard Road, Asheville, NC 28806 | 2017-06-08 |
| 1134668098 | Ellen Minier | Nurse Practitioner | 23 Westmont Drive, Asheville, NC 28806 | 2017-02-13 |
| Find all providers in zip 28806 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659876878 | Brian Swindell Desmond | Family Medicine | 123 Hendersonville Road, Asheville, NC 28803 | 2018-03-28 |
| 1174055644 | Katie Jane Gray | Family Medicine | 121 Hendersonville Road, Asheville, NC 28803-2868 | 2017-04-03 |
| 1710237763 | Blue Ridge Headache Center | Family Medicine | 8 Herman Avenue Ext, A, Asheville, NC 28803-9106 | 2012-09-18 |
| 1497018162 | Katharine Currie Rasche | Family Medicine | 84 Coxe Ave Ste 240, Asheville, NC 28801-3686 | 2012-06-19 |
| 1477846848 | Edward Urban | Family Medicine | 1550 Hendersonville Rd Ste 208, Asheville, NC 28803-3245 | 2011-05-18 |
| 1891025243 | Raleigh Durham Medical Group, Pa | Family Medicine | 220 Ridgefield Ct, Asheville, NC 28806-2209 | 2010-01-07 |
| 1093978363 | Summer S Barlow | Family Medicine | 7 Mcdowell St Ste 200, Asheville, NC 28801-4116 | 2008-07-08 |
| 1891993895 | Reena Adjoa-oforiwaa Newton | Family Medicine | 206 Asheland Ave., Asheville, NC 28801-4016 | 2007-07-11 |
| 1639208945 | Jack Alexander Koontz | Family Medicine | 703 Crowfields Ln, Asheville, NC 28803-3291 | 2007-03-04 |
| 1508920729 | Ronald Lawrence Plemmons | Family Medicine | 50 Doctors Dr Ste 100, Asheville, NC 28801-4615 | 2006-12-21 |
| Find all providers in ASHEVILLE | ||||
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| 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.