HAYWOOD REGIONAL MEDICAL CENTER (NPI# 1902104565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902104565 |
| Entity Type | Organization |
| Organization Name | HAYWOOD REGIONAL MEDICAL CENTER |
| Other Organization Name | BLUE MOUNTAIN UROLOGY |
| Practice Address |
15 Brettwood Trce Clyde NC 28721-8021 |
| Practice Telephone | 8284529700 |
| Practice Fax Number | 8284523701 |
| Mailing Telephone | 8284529700 |
| Mailing Fax Number | 8284523701 |
| Enumeration Date | 2011-03-07 |
| Last Update Date | 2013-07-11 |
| Authorized Official Name | MICHAEL D MCKNIGHT (CFO) |
| Authorized Official Telephone | 8284528210 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities | ||
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Blue Mountain Urology | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821242926 | Haywood Regional Medical Center | Clinic/Center | 75 Leroy George Drive, Clyde, NC 28721 | 2008-11-17 |
| 1710311451 | Haywood Regional Medical Center | Clinical Medical Laboratory | 262 Leroy George Dr, Clyde, NC 28721-7430 | 2013-08-29 |
| 1235473802 | Haywood Regional Medical Center | Orthopaedic Surgery | 581 Leroy George Dr, Suite 300, Clyde, NC 28721-8084 | 2012-11-20 |
| 1023390259 | Haywood Regional Medical Center | Hospice Care, Community Based | 560 Leroy George Dr, Clyde, NC 28721-7408 | 2011-09-14 |
| 1699053942 | Haywood Regional Medical Center | Internal Medicine | 600 Hospital Dr, Suite 9, Clyde, NC 28721-8024 | 2011-08-03 |
| 1003112541 | Haywood Regional Medical Center | Surgery | 40 Brettwood Trce, Clyde, NC 28721-8021 | 2011-02-01 |
| 1609179084 | Haywood Regional Medical Center | Clinic/Center | 1272 East St, Waynesville, NC 28786-3437 | 2010-12-07 |
| 1023311560 | Haywood Regional Medical Center | Psychiatric Unit | 262 Leroy George Dr, Clyde, NC 28721-7430 | 2010-12-06 |
| 1922326560 | Haywood Regional Medical Center | Internal Medicine | 32 Physician Dr, Clyde, NC 28721-8486 | 2010-05-06 |
| 1184948762 | Haywood Regional Medical Center | General Acute Care Hospital | 75 Leroy George Dr, Clyde, NC 28721-7461 | 2010-03-25 |
| Street Address |
15 BRETTWOOD TRCE |
| City | CLYDE |
| State | NC |
| Zip Code | 28721-8021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699753509 | Leonard Paul Verges | Urology | 15 Brettwood Trce, Clyde, NC 28721-8021 | 2006-01-03 |
| 1134149990 | Blue Mountain Urology, Pllc | Specialist | 15 Brettwood Trce, Clyde, NC 28721-8021 | 2006-07-21 |
| 1578541363 | Richard Henry Steele | Urology | 15 Brettwood Trce, Clyde, NC 28721-8021 | 2006-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659828366 | Arcadia Pathology Network, Pllc | Pathology | 262 Leroy George Dr Pathology, Clyde, NC 28721 | 2016-09-10 |
| 1063760999 | Jenny Helms Caldwell | Pharmacist | 231 Ironwood Dr., Clyde, NC 28721 | 2012-08-27 |
| 1306112958 | Lynette Mount | Specialist/Technologist | 76 Leroy George Drive, Clyde, NC 28721 | 2012-03-28 |
| 1821242926 | Haywood Regional Medical Center | Clinic/Center | 75 Leroy George Drive, Clyde, NC 28721 | 2008-11-17 |
| 1770757338 | Colin James Bridger | Physical Therapist | 262 Leroy George Dve, Clyde, NC 28721 | 2008-04-15 |
| 1851585236 | Lori Anne Gerber | Counselor | 33 Sharon Lynne Way, Clyde, NC 28721 | 2007-08-29 |
| 1487779328 | Sandra Y Fowler | Social Worker | 73 Main St., Clyde, NC 28721 | 2007-03-20 |
| 1164593810 | County of Haywood | Case Management | 157 Paragon Pkwy Ste 300, Clyde, NC 28721 | 2006-11-13 |
| 1992779730 | Leroy S Crapanzano Jr. | Dentist | 157 Paragon Parkway, Haywood County Health Department, Clyde, NC 28721 | 2006-02-16 |
| 1063492007 | Ann Marie Mcdonald | Nurse Practitioner | 360 Hospital Dr Ste 120, Clyde, NC 28721 | 2006-01-17 |
| Find all providers in zip 28721 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699753509 | Leonard Paul Verges | Urology | 15 Brettwood Trce, Clyde, NC 28721-8021 | 2006-01-03 |
| 1578541363 | Richard Henry Steele | Urology | 15 Brettwood Trce, Clyde, NC 28721-8021 | 2006-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528673423 | Meredith Abernethy | Urology | 140 Kimel Park Dr # 100, Winston Salem, NC 27103-6184 | 2020-09-09 |
| 1942833678 | Joshua Daniel Howell | Urology | 10650 Park Rd Ste 320, Charlotte, NC 28210-8543 | 2020-02-21 |
| 1144887019 | Shuo Liu | Urology | Department of Urology Medical Center Boulevard, Winston Salem, NC 27157-0001 | 2019-05-25 |
| 1427563725 | Hifu Prostate Services, LLC | Urology | 4108 Park Rd Ste 205, Charlotte, NC 28209-2260 | 2017-12-08 |
| 1134644859 | Ilan Binyamin Klein | Urology | Wake Forest Baptist Health, Department of Urology, Medical Center Boulevard, Winston-salem, NC 27157 | 2017-08-03 |
| 1184163883 | Dlp Central Carolina Medical Group LLC | Urology | 1139 Carthage St Ste 110-b, Sanford, NC 27330-4111 | 2017-02-15 |
| 1578007225 | Cumberland County Hospital System Inc | Urology | 805 Tilghman Dr, Suite A, Dunn, NC 28334-5887 | 2016-12-15 |
| 1063963080 | Novant Medical Group, Inc | Urology | 1730 Kernersville Medical Pkwy Ste 303, Kernersville, NC 27284-7198 | 2016-10-14 |
| 1588019152 | Murphy Medical Center, Inc. | Urology | 75 Medical Park Ln Ste A, Murphy, NC 28906-6673 | 2016-05-02 |
| 1427446723 | Regional Physicians LLC | Urology | 217- 218 Gatewood Ave, High Point, NC 27262-4877 | 2015-01-08 |
| Find all providers with the same taxonomy | ||||
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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.