WATAUGA MEDICAL CENTER INC (NPI# 1861031544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861031544 |
| Entity Type | Organization |
| Organization Name | WATAUGA MEDICAL CENTER INC |
| Practice Address |
336 Deerfield Rd Boone NC 28607-5008 |
| Mailing Address |
Po Box 2600 Boone NC 28607-2600 |
| Practice Telephone | 8282624133 |
| Practice Fax Number | 8282624103 |
| Mailing Telephone | 8282624133 |
| Mailing Fax Number | 8282624103 |
| Enumeration Date | 2019-12-30 |
| Last Update Date | 2019-12-30 |
| Authorized Official Name | MARY ETTA LONG (SVP MEDICAL STAFF RELATIONS) |
| Authorized Official Telephone | 8282624133 |
| Is Organization Subpart | Y |
| Parent Organization Name | WATAUGA MEDICAL CENTER INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Pulmonology Inpatient | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386268324 | Watauga Medical Center Inc | Pediatrics | 336 Deerfield Rd, Boone, NC 28607-5008 | 2020-06-05 |
| 1265068027 | Watauga Medical Center Inc | Psychiatry & Neurology | 336 Deerfield Rd, Boone, NC 28607-5008 | 2020-03-12 |
| 1336215821 | Watauga Medical Center Inc | Surgery | 336 Deerfield Rd, Boone, NC 28607-5008 | 2006-11-27 |
| 1548335581 | Watauga Medical Center Inc | Nurse Anesthetist, Certified Registered | 336 Deerfield Rd, Boone, NC 28607-5008 | 2006-11-22 |
| 1861567893 | Watauga Medical Center Inc | Radiology | 336 Deerfield Rd, Boone, NC 28607-5008 | 2006-11-22 |
| 1205859766 | Watauga Medical Center Inc | Internal Medicine | 336 Deerfield Rd, Boone, NC 28607-5008 | 2006-07-25 |
| Street Address |
336 DEERFIELD RD |
| City | BOONE |
| State | NC |
| Zip Code | 28607-5008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477556116 | Michael Francis Minogue | Emergency Medicine | 336 Deerfield Rd, Boone, NC 28607-5008 | 2005-05-26 |
| 1477152379 | Regan Early | Counselor | 336 Deerfield Rd, Boone, NC 28607-5008 | 2020-10-21 |
| 1093323321 | Sara Elizabeth Willis | Pharmacist | 336 Deerfield Rd, Boone, NC 28607-5008 | 2020-07-22 |
| 1386268324 | Watauga Medical Center Inc | Pediatrics | 336 Deerfield Rd, Boone, NC 28607-5008 | 2020-06-05 |
| 1265068027 | Watauga Medical Center Inc | Psychiatry & Neurology | 336 Deerfield Rd, Boone, NC 28607-5008 | 2020-03-12 |
| 1164056537 | Jessica Lucero | Nurse Practitioner | 336 Deerfield Rd, Boone, NC 28607-5008 | 2020-02-25 |
| 1861047672 | Amber Oliver Stern | Nurse Practitioner | 336 Deerfield Rd, Boone, NC 28607-5008 | 2019-08-08 |
| 1477115517 | Paige Leigh Harris | Social Worker | 336 Deerfield Rd, Boone, NC 28607-5008 | 2019-06-28 |
| 1992203152 | Christopher Anthony Santos | Nurse Anesthetist, Certified Registered | 336 Deerfield Rd, Boone, NC 28607-5008 | 2018-01-23 |
| 1003335860 | Holly K.g. Sawyer | Nurse Practitioner | 336 Deerfield Rd, Boone, NC 28607-5008 | 2017-09-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184261232 | Blaire E. Warren, Dds, Pllc | Clinic/Center | 142 Doctors Drive, Boone, NC 28607 | 2019-12-09 |
| 1073176871 | Whitney B Van Sant | Psychologist | 719-a Greenway Rd., Boone, NC 28607 | 2019-04-17 |
| 1710489273 | Appalachian Regional Medical Associates Inc | Internal Medicine | Appgastro - Asc, 870 State Farm Rd, Ste 102, Boone, NC 28607 | 2018-03-01 |
| 1891234019 | Laura Kacere | Counselor | 895 State Farm Rd Ste 507-5, Boone, NC 28607 | 2017-02-21 |
| 1902357320 | Innate Chiropractic - Pllc | Chiropractor | 838 State Farm Road, Ste 1, Boone, NC 28607 | 2016-10-20 |
| 1437519501 | David Hale Johnson | Nurse Practitioner | 169 Doctors Drive, Boone, NC 28607 | 2016-03-02 |
| 1639538895 | Lara Mele | Lactation Consultant, Non-RN | 180 Pine Hill Road, Boone, NC 28607 | 2016-02-16 |
| 1659749927 | Rachel Arledge | Counselor | 895 State Farm Rd. Bldg. 500, Ste. 505, Boone, NC 28607 | 2015-09-03 |
| 1346625431 | Kelly Walsh Whiteley | Dentist | 450 New Market Blvd Ste 2, Boone, NC 28607 | 2015-07-30 |
| 1184000234 | Ruby Amanda Stipe Blaylock | Physician Assistant | 2146 Blowing Rock Road - App Urgent Care, Boone, NC 28607 | 2015-07-30 |
| Find all providers in zip 28607 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487886735 | Anthony Ward Raynor | Internal Medicine | 336 Deerfield Rd, Boone, NC 28607-5008 | 2009-08-20 |
| 1790922409 | Appalachian Regional Medical Associates | Internal Medicine | 950 State Farm Rd, Suite 200, Boone, NC 28607-5021 | 2009-01-16 |
| 1194747105 | Kevin W. Wolfe | Internal Medicine | 136 Furman Rd, Suite 6, Boone, NC 28607-5038 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982185377 | Fhpg, LLC | Internal Medicine | 2925 Beechtree Dr, Suite 142, Sanford, NC 27330 | 2018-08-24 |
| 1871034595 | Jane Tramontana | Internal Medicine | 2611 Creek Manor Dr, Waxhaw, NC 28173-4109 | 2017-03-14 |
| 1962953877 | Novant Medical Group, Inc | Internal Medicine | 9550 Rocky River Rd Ste 100, Charlotte, NC 28215 | 2016-10-17 |
| 1154774032 | Roanoke Valley Health Services, Inc | Internal Medicine | 210 Smith Church Rd Ste B, Roanoke Rapids, NC 27870-4942 | 2016-07-15 |
| 1376974485 | Gottskalk Bjornsson | Internal Medicine | 363 Creedmoor Rd, Jacksonville, NC 28546-6035 | 2013-11-29 |
| 1396017752 | Blue Ridge Healthcare Medical Group, Inc. | Internal Medicine | 2293 Sugar Hill Rd, Suite B, Marion, NC 28752-7787 | 2012-02-01 |
| 1518283373 | Christine Lee Vigeland | Internal Medicine | 101 Manning Drive University of North Carolina, Chapel Hill, NC 27599-0001 | 2010-04-19 |
| 1821314014 | Luz Juliana Barahona | Internal Medicine | 706 Rosanne Dr, Kinston, NC 28504-1550 | 2010-04-13 |
| 1407188600 | Blue Ridge Healthcare Medical Group, Inc. | Internal Medicine | 117-b Foothills Dr, Morganton, NC 28655 | 2010-02-12 |
| 1164690731 | Pulmonology & Bronchology | Internal Medicine | 8878 Us 70 Hwy W, Suite 400a, Clayton, NC 27520-4823 | 2008-02-15 |
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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.