WALLY STURGIS (NPI# 1679692511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679692511 |
| Entity Type | Individual |
| Full Name | WALLY STURGIS |
| Credential | PA |
| Practice Address |
201 Tabernacle Rd Black Mountain NC 28711-2526 |
| Mailing Address |
14 High Valley Estates Dr Alexander NC 28701-9726 |
| Practice Telephone | 8286693496 |
| Mailing Telephone | 8286834437 |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
100651 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | MEDICAL BOARD NUMBER | 100651 | 01 |
| Street Address |
201 TABERNACLE RD |
| City | BLACK MOUNTAIN |
| State | NC |
| Zip Code | 28711-2526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194786459 | Carol H Kaufman | Family Medicine | 201 Tabernacle Rd, Julian F. Keith Alcohol and Drug Abuse Treatment Center, Black Mountain, NC 28711-2526 | 2006-03-28 |
| 1528667763 | Julian F. Keith Adatc Outpatient Services | Community/Behavioral Health | 201 Tabernacle Rd, Black Mountain, NC 28711-2526 | 2020-10-20 |
| 1871133645 | Kathleen Hoppe Smith | Registered Nurse | 201 Tabernacle Rd, Black Mountain, NC 28711-2526 | 2020-01-09 |
| 1548638018 | Kelly German | Nurse Practitioner | 201 Tabernacle Rd, Black Mountain, NC 28711-2526 | 2015-09-14 |
| 1063802999 | Julian F. Keith Alcohol & Drug Abuse Treatment Center | Pharmacy | 201 Tabernacle Rd, Black Mountain, NC 28711-2526 | 2015-01-30 |
| 1326455635 | Veronica Lynn Johnson | Nurse Practitioner | 201 Tabernacle Rd, Black Mountain, NC 28711-2526 | 2014-07-18 |
| 1093149775 | Rocky Beauchane Morris | Counselor | 201 Tabernacle Rd, Black Mountain, NC 28711-2526 | 2013-08-29 |
| 1619229614 | Carolyn Sue Anderson | Registered Nurse | 201 Tabernacle Rd, Black Mountain, NC 28711-2526 | 2012-10-15 |
| 1104071851 | Vivian Ruth Poetter | General Practice | 201 Tabernacle Rd, Jfk Alcohol and Drug Abuse Treatment Center, Black Mountain, NC 28711-2526 | 2008-11-21 |
| 1164675153 | Saeri Lee Wren | Physician Assistant | 201 Tabernacle Rd, Black Mountain, NC 28711-2526 | 2008-11-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952910978 | Kelsey Lauren Crabtree | Counselor | 9 Penelope Street, Black Mountain, NC 28711 | 2020-07-26 |
| 1053839068 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 540 Nc 9 Hwy, Black Mountain, NC 28711 | 2017-08-30 |
| 1487037495 | Marian Cook | Occupational Therapist | 611 Old Us Hwy 70e, Mountain Ridge Skilled Nursing, Black Mtn, NC 28711 | 2015-07-08 |
| 1457696361 | Black Mountain Physical Therapy, LLC | Clinic/Center | 997 W Old Us 70 Hwy, Black Mountain, NC 28711 | 2012-12-04 |
| 1982948550 | Givens Highland Farms, LLC | Skilled Nursing Facility | 200 Tabernacle Road, Black Mountain, NC 28711 | 2012-11-20 |
| 1639480312 | Kathleen Bradley Shannon | Counselor | 15 Jane Jacobs Rd Ste 102, Black Mountain, NC 28711 | 2010-06-28 |
| 1821117482 | Katherine Edwards Milam | Technician/Technologist | 145a Old Hwy 70 East, Black Mountain, NC 28711 | 2007-03-28 |
| 1932247079 | R. Bruce Kelly | Family Medicine | 932 Old Hwy 70 West, Black Mountain, NC 28711 | 2007-02-01 |
| 1275679474 | Black Mountain Neuro-medical Treatment Center | Skilled Nursing Facility | 932 Old Us 70, Black Mountain, NC 28711 | 2007-01-29 |
| 1992851331 | Julian F Keith Alcohol and Drug Abuse Treatment Center | Psychiatric Hospital | 201 Tabernacle Road, Black Mountain, NC 28711 | 2007-01-26 |
| Find all providers in zip 28711 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689793838 | Eileen Klein Eudy | Physician Assistant | 201 Tabernacle Rd, Black Mountain, NC 28711-2526 | 2007-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902403884 | Billy Scott II | Physician Assistant | 3000 Rogers Rd Ste 100, Wake Forest, NC 27587-5745 | 2020-10-05 |
| 1982213765 | Michaela Lynne Mcbride | Physician Assistant | 9541 Kings Parade Blvd Unit 107, Charlotte, NC 28273-5819 | 2020-07-28 |
| 1386260347 | Elizabeth Warrington Maiche | Physician Assistant | 113 Montgomery Dr, Saluda, NC 28773-7787 | 2020-06-24 |
| 1831715663 | John Wheary | Physician Assistant | 3233 Austin Ave, New Bern, NC 28562-7084 | 2020-06-17 |
| 1629692439 | Julie Anne Augustine | Physician Assistant | 718 S Green St, Winston Salem, NC 27101-5112 | 2020-06-08 |
| 1659995710 | Kristopher Neal Priddy | Physician Assistant | 405 Forest Hill Dr, Shelby, NC 28150-5520 | 2020-06-04 |
| 1710500558 | Christian Wright Fulenwider | Physician Assistant | 104 Linden St, Morganton, NC 28655-3788 | 2020-05-27 |
| 1366065500 | Lisa Lynn Carder | Physician Assistant | 904 Foxcroft Cir Apt D, Shelby, NC 28152-6868 | 2020-05-22 |
| 1982234282 | Brandon Sorkin | Physician Assistant | 280 Executive Park Drive, Suite 100, Concord, NC 28025-2802 | 2020-01-25 |
| 1245860618 | Robert Maughan | Physician Assistant | 129 Bryce Creek Ln, Fayetteville, NC 28303-4981 | 2020-01-24 |
| Find all providers with the same taxonomy | ||||
| City | BLACK MOUNTAIN |
| Zip Code | 28711 |
Please comment or provide details below to improve the information on WALLY STURGIS.
| 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.