Tim Edmisten (NPI# 1780679357, PAC ID# 6103910419) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1780679357 |
| PAC ID by PECOS | 6103910419 |
| Professional Enrollment ID | I20100719000369 |
| Full Name | Tim Edmisten |
| Organization Legal Name | APPALACHIAN REGIONAL MEDICAL ASSOCIATES INC |
| Address |
965 State Farm Rd Boone NC 28607-4948 |
| Phone Number | 8282642340 |
| Gender | M |
| Medical School | EAST CAROLINA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1993 |
| Primary Specialty | GENERAL SURGERY |
| Secondary Specialties | THORACIC SURGERY |
| Group Practice PAC ID | 5799877817 |
| Number of Group Practice Members | 68 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340051 | WATAUGA MEDICAL CENTER |
| 341323 | CHARLES A CANNON JR MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 965 State Farm Rd, Boone, NC 28607-4948 | 8282642340 | APPALACHIAN REGIONAL MEDICAL ASSOCIATES INC |
| Organization Legal Name | APPALACHIAN REGIONAL MEDICAL ASSOCIATES INC |
| Physicians | 65 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth C Mckeon | Family Medicine | Appalachian Regional Medical Associates Inc | 436 Hospital Dr, Suite 230, Linville, NC 28646-0765 |
| Matthew A Lutz | Physician Assistant | Appalachian Regional Medical Associates Inc | 935 State Farm Rd, Boone, NC 28607-4948 |
| Chelsea L Compitello | Nurse Practitioner | Appalachian Regional Medical Associates Inc | 194 Doctors Dr, Boone, NC 28607-5000 |
| Richard Stark | Internal Medicine | Appalachian Regional Medical Associates Inc | 148 Hwy 105 Ext, Boone, NC 28607-5682 |
| Lionel Van Der Westhuizen | General Surgery | Appalachian Regional Medical Associates Inc | 965 State Farm Rd, Boone, NC 28607-4948 |
| Laura I Zimmerman | Family Medicine | Appalachian Regional Medical Associates Inc | 2146 Blowing Rock Rd, Boone, NC 28607-6154 |
| William C Tate Ii | General Surgery | Appalachian Regional Medical Associates Inc | 211 Milton Brown Heirs Rd, Boone, NC 28607-8708 |
| Carrington Pertalion | Certified Nurse Midwife (cnm) | Appalachian Regional Medical Associates Inc | 381 Deerfield Rd, Boone, NC 28607-5009 |
| David Paul Kimmel | Internal Medicine | Appalachian Regional Medical Associates Inc | 150 Park Ave, Banner Elk, NC 28604-6604 |
| Gregory Michael Price | Family Medicine | Appalachian Regional Medical Associates Inc | 623 Chestnut Ridge Pkwy, Blowing Rock, NC 28605-9340 |
| Street Address |
965 STATE FARM RD |
| City | BOONE |
| State | NC |
| Zip | 28607-4948 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lionel Van Der Westhuizen | General Surgery | Appalachian Regional Medical Associates Inc | 965 State Farm Rd, Boone, NC 28607-4948 |
| Anne-corinne Beaver | General Surgery | Appalachian Regional Medical Associates Inc | 965 State Farm Rd, Boone, NC 28607-4948 |
| Paul S Dagher | General Surgery | Appalachian Regional Medical Associates Inc | 965 State Farm Rd, Boone, NC 28607-4948 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Benjamin A Russell | Qualified Audiologist | 400 Univerisyt Hall Dr, Boone, NC 28607 | |
| Karen T Stoetzer | Clinical Social Worker | 719 Greenway Rd, Suite 108, Boone, NC 28607-3100 | |
| Ryan J Woods | Chiropractic | 920 W King St B, Boone, NC 28607-3467 | |
| Todd A Svitzer | Physician Assistant | Primedical Healthcare Pa | 240 Hwy 105 Ext, Suite 100, Boone, NC 28607-4291 |
| Nicholas J Placentra Jr. | Family Medicine | Primedical Healthcare Pa | 240 Hwy 105 Ext, Suite 100, Boone, NC 28607-4291 |
| Lori W Hiatt | Occupational Therapy | 240 Hwy 105 Ext, Suite 200, Boone, NC 28607-4291 | |
| Shelly C Smith | Physician Assistant | Primedical Healthcare Pa | 240 Hwy 105 Ext, Suite 100, Boone, NC 28607-4291 |
| Amanda K Bliss | Physician Assistant | Primedical Healthcare Pa | 240 Hwy 105 Ext, Suite 100, Boone, NC 28607-4291 |
| Miranda J Ramsey | Nurse Practitioner | Primedical Healthcare Pa | 240 Hwy 105 Ext, Suite 100, Boone, NC 28607-4291 |
| William Henson | Optometry | Daniel J Sullivan Od Pa | 1180 Blowing Rock Rd, Suite A1, Boone, NC 28607-4600 |
| Find all physicians in zip 28607 | |||
| City | BOONE |
| Zip Code | 28607 |
| Specialty | GENERAL SURGERY |
| City + Specialty | BOONE + GENERAL SURGERY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.