Appalachian Gastroenterology | |
336 Deerfield Road Boone NC 28607 | |
(828) 262-4100 | |
(828) 262-4103 |
Full Name | Appalachian Gastroenterology |
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Speciality | Family Medicine |
Location | 336 Deerfield Road, Boone, North Carolina |
Authorized Official Name and Position | Mary Etta Long (SR VP MEDICAL STAFF RELATIONS) |
Authorized Official Contact | 8282624133 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Appalachian Gastroenterology Po Box 2600 Boone NC 28607 Ph: (828) 262-4100 | Appalachian Gastroenterology 336 Deerfield Road Boone NC 28607 Ph: (828) 262-4100 |
NPI Number | 1669533923 |
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Provider Enumeration Date | 12/12/2006 |
Last Update Date | 04/19/2019 |
Medicare PECOS PAC ID | 5799877817 |
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Medicare Enrollment ID | O20070822000932 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669533923 | NPI | - | NPPES |
019CA | Other | NC | BCBS NC |
Provider Name | Karen F Criminger |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801807904 PECOS PAC ID: 2860388766 Enrollment ID: I20040226000787 |
Provider Name | Alycia Brown |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1790762078 PECOS PAC ID: 6800783747 Enrollment ID: I20040303001266 |
Provider Name | Donna S Tate |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649353392 PECOS PAC ID: 9234112996 Enrollment ID: I20040611001353 |
Provider Name | Charles E Baker |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1356308134 PECOS PAC ID: 0244214203 Enrollment ID: I20040625000412 |
Provider Name | Christopher Anthony Marinakis |
---|---|
Provider Type | Practitioner - Urology |
Provider Identifiers | NPI Number: 1952401895 PECOS PAC ID: 7214914787 Enrollment ID: I20040701001491 |
Provider Name | Hardayal Singh |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1982641551 PECOS PAC ID: 5799758116 Enrollment ID: I20040814000150 |
Provider Name | Angela M Gonder |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588706659 PECOS PAC ID: 2365419215 Enrollment ID: I20040911000038 |
Provider Name | Anne-corinne Beaver |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1356445761 PECOS PAC ID: 2264409713 Enrollment ID: I20040914000479 |
Provider Name | Kim C Brooks |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1770554578 PECOS PAC ID: 9830151034 Enrollment ID: I20041103000131 |
Provider Name | Cecilia F Grasinger |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1902884562 PECOS PAC ID: 0244292027 Enrollment ID: I20041108000198 |
Provider Name | Nancy M Griffith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730181652 PECOS PAC ID: 9032175120 Enrollment ID: I20041209000973 |
Provider Name | Donald D Graham |
---|---|
Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1497737621 PECOS PAC ID: 9436101086 Enrollment ID: I20050211000565 |
Provider Name | Danielle L Mahaffey |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1629094040 PECOS PAC ID: 5496707382 Enrollment ID: I20050218000703 |
Provider Name | Matthew J Denti |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1336157726 PECOS PAC ID: 9335186634 Enrollment ID: I20050408000178 |
Provider Name | Kamla T Jain |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1235208018 PECOS PAC ID: 6800877614 Enrollment ID: I20051116000123 |
Provider Name | Gregory Michael Price |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1740363704 PECOS PAC ID: 2668408477 Enrollment ID: I20051205000478 |
Provider Name | Dimitrios P Hondros |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1891804993 PECOS PAC ID: 1153328596 Enrollment ID: I20061027000391 |
Provider Name | Steven R Anderson |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1295853018 PECOS PAC ID: 7517068570 Enrollment ID: I20070720000785 |
Provider Name | John L Whitlock |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1790713451 PECOS PAC ID: 9638261761 Enrollment ID: I20070831000567 |
Provider Name | Alfred D Earwood |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1699760959 PECOS PAC ID: 6901994904 Enrollment ID: I20071108000231 |
Provider Name | David Paul Kimmel |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1053306092 PECOS PAC ID: 2860384906 Enrollment ID: I20071109000115 |
Provider Name | Ella T Markland |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043395965 PECOS PAC ID: 6507939832 Enrollment ID: I20080721000297 |
Provider Name | Mark R Harter |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1518946078 PECOS PAC ID: 3577627025 Enrollment ID: I20090203000756 |
Provider Name | Beverly E Womack |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1245305713 PECOS PAC ID: 9739198847 Enrollment ID: I20090219000634 |
Provider Name | Carrington Pertalion |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1154384139 PECOS PAC ID: 8921156415 Enrollment ID: I20090512000182 |
Provider Name | Jennifer L Stoeber |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1669694402 PECOS PAC ID: 4880748060 Enrollment ID: I20090822000189 |
Provider Name | Elizabeth T Hinnant |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1831228352 PECOS PAC ID: 1850438029 Enrollment ID: I20091020000474 |
Provider Name | Christopher K Nagy |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1770552630 PECOS PAC ID: 0345389011 Enrollment ID: I20091209000638 |
Provider Name | Carol H Pillsbury |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760710495 PECOS PAC ID: 1355482969 Enrollment ID: I20100105000244 |
Provider Name | Bradley J Broussard |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1457325110 PECOS PAC ID: 9931235983 Enrollment ID: I20100329000808 |
Provider Name | Douglas Michael Trate |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1477531242 PECOS PAC ID: 2567464639 Enrollment ID: I20100701000544 |
Provider Name | Thomas M Haizlip |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1750378725 PECOS PAC ID: 5294867925 Enrollment ID: I20100715000984 |
Provider Name | Paul S Dagher |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1871588434 PECOS PAC ID: 4385738699 Enrollment ID: I20100716000282 |
Provider Name | Tim D Edmisten |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1780679357 PECOS PAC ID: 6103910419 Enrollment ID: I20100719000369 |
Provider Name | Charles G Miller |
---|---|
Provider Type | Practitioner - Urology |
Provider Identifiers | NPI Number: 1528168549 PECOS PAC ID: 1951434117 Enrollment ID: I20100809000750 |
Provider Name | Gregory Diamonti |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1407810609 PECOS PAC ID: 9234231671 Enrollment ID: I20100825000698 |
Provider Name | Camile M Andrews |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1770777336 PECOS PAC ID: 0840315834 Enrollment ID: I20100914001012 |
Provider Name | Tuong C Trate |
---|---|
Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1184602955 PECOS PAC ID: 3577668789 Enrollment ID: I20100915000452 |
Provider Name | James C.hristopher Califf |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1952344541 PECOS PAC ID: 3870677990 Enrollment ID: I20101124000139 |
Provider Name | Kathryn Furr Patten |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1952389058 PECOS PAC ID: 6103868021 Enrollment ID: I20110224000773 |
Provider Name | Laura I Zimmerman |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1447425608 PECOS PAC ID: 5496937096 Enrollment ID: I20110302001000 |
Provider Name | Christopher L Mccracken |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1154567915 PECOS PAC ID: 7416127634 Enrollment ID: I20110826000037 |
Provider Name | David C Brendle |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1295900967 PECOS PAC ID: 4385817139 Enrollment ID: I20111024000405 |
Provider Name | Nicole L Chappell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992844492 PECOS PAC ID: 7618140104 Enrollment ID: I20111027000977 |
Provider Name | Karen M Isaacs |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1457589533 PECOS PAC ID: 0345496923 Enrollment ID: I20120814000677 |
Provider Name | Michael S Miller |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1184890451 PECOS PAC ID: 1850548918 Enrollment ID: I20120823000823 |
Provider Name | Amy Chidester |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1770771966 PECOS PAC ID: 0446349591 Enrollment ID: I20120910000898 |
Provider Name | April J Greene |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1669737292 PECOS PAC ID: 4981854064 Enrollment ID: I20121025000791 |
Provider Name | Heather W Jordan |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1528149762 PECOS PAC ID: 7113179953 Enrollment ID: I20121130000414 |
Provider Name | Lionel Van Der Westhuizen |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1306057500 PECOS PAC ID: 1456509306 Enrollment ID: I20130624000539 |
Provider Name | James W Logan |
---|---|
Provider Type | Practitioner - Rheumatology |
Provider Identifiers | NPI Number: 1689675175 PECOS PAC ID: 3476537325 Enrollment ID: I20130808000506 |
Provider Name | Christopher T Bullers |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1356578405 PECOS PAC ID: 9931342441 Enrollment ID: I20130903000397 |
Provider Name | Ana Hubert |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1528370897 PECOS PAC ID: 6406080613 Enrollment ID: I20131001000407 |
Provider Name | Ila E Hill-ludford |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699986091 PECOS PAC ID: 7113106238 Enrollment ID: I20131217000616 |
Provider Name | Anthony M Schlake |
---|---|
Provider Type | Practitioner - Urology |
Provider Identifiers | NPI Number: 1932362852 PECOS PAC ID: 4880817352 Enrollment ID: I20140602001677 |
Provider Name | Lynda Gioia-flynt |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1922050855 PECOS PAC ID: 0840295556 Enrollment ID: I20140616001035 |
Provider Name | Irene Childress |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326300617 PECOS PAC ID: 1254573751 Enrollment ID: I20141014000692 |
Provider Name | Robert J Felix |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1447244074 PECOS PAC ID: 7719120815 Enrollment ID: I20141203001744 |
Provider Name | Julia Sherrill |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1699938159 PECOS PAC ID: 2163695974 Enrollment ID: I20150225001555 |
Provider Name | Richard Stark |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1023104049 PECOS PAC ID: 7517083447 Enrollment ID: I20150730013349 |
Provider Name | Chelsea L Compitello |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255715751 PECOS PAC ID: 7113233107 Enrollment ID: I20150908000509 |
Provider Name | David H Johnson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437519501 PECOS PAC ID: 2961709878 Enrollment ID: I20160321000977 |
Provider Name | Richard Smith |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1457342883 PECOS PAC ID: 8921197633 Enrollment ID: I20160809000440 |
Provider Name | Benjamin R Parker |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1114211794 PECOS PAC ID: 6507159407 Enrollment ID: I20160908000365 |
Provider Name | Jessica L Storer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619359338 PECOS PAC ID: 5294035655 Enrollment ID: I20161114000789 |
Provider Name | Heidi L Robertson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255883583 PECOS PAC ID: 3577845643 Enrollment ID: I20170125000975 |
Provider Name | Faith Marie Oakley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336658392 PECOS PAC ID: 7517224603 Enrollment ID: I20171128000903 |
Provider Name | Jaime L Bellamy |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1548420458 PECOS PAC ID: 1557504107 Enrollment ID: I20180202001100 |
Provider Name | Ariel Jaleigh Ansley |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1265844211 PECOS PAC ID: 9335497916 Enrollment ID: I20180731000291 |
Provider Name | Heather Elizabeth Portaro |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619470325 PECOS PAC ID: 7517215742 Enrollment ID: I20180806000069 |
Provider Name | Patrick Orion Finn |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215419379 PECOS PAC ID: 6103179619 Enrollment ID: I20181031001289 |
Provider Name | Lindsey N Henley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952882698 PECOS PAC ID: 5092069757 Enrollment ID: I20181115000542 |
Provider Name | Jennie Goodwin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528537552 PECOS PAC ID: 6406194117 Enrollment ID: I20190205000818 |
Provider Name | Katelind E Ingalls |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386106888 PECOS PAC ID: 6002142429 Enrollment ID: I20190723002979 |
Provider Name | Elizabeth C Mckeon |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1356704217 PECOS PAC ID: 0648564872 Enrollment ID: I20190918003738 |
Provider Name | Timothy Scott Brisbin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659721975 PECOS PAC ID: 4789953480 Enrollment ID: I20191017002426 |
Provider Name | Molly Anne Benedum |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1790076248 PECOS PAC ID: 2860613585 Enrollment ID: I20191104002307 |
Provider Name | Adam Kyle Wilson |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1639597875 PECOS PAC ID: 9032414750 Enrollment ID: I20191126002696 |
Provider Name | Keressa L Clark |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346693868 PECOS PAC ID: 8729373188 Enrollment ID: I20191205000853 |
Provider Name | Courtney A Damian |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1427444397 PECOS PAC ID: 4789019423 Enrollment ID: I20200127001653 |
Provider Name | Jessica C Lucero |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164056537 PECOS PAC ID: 8325478399 Enrollment ID: I20200415003541 |
Provider Name | Laura B Tran |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1073045332 PECOS PAC ID: 1153692678 Enrollment ID: I20200504002626 |
Provider Name | Ian Frank Marc Verhaeghe |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043832454 PECOS PAC ID: 3779906714 Enrollment ID: I20200708003442 |
Provider Name | Angela Mcghee |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1902331309 PECOS PAC ID: 8426314691 Enrollment ID: I20200709001815 |
Provider Name | David Douglas Moffat |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1063809713 PECOS PAC ID: 4284934530 Enrollment ID: I20200721004417 |
Provider Name | Heather F Landis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780216135 PECOS PAC ID: 5395161913 Enrollment ID: I20200813001363 |
Provider Name | Jesus Alberto Ruiz Patino |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1366897878 PECOS PAC ID: 6305171323 Enrollment ID: I20200820001572 |
Provider Name | Matthew Stephen Giordanengo |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1396039590 PECOS PAC ID: 0042437485 Enrollment ID: I20210315001129 |
Provider Name | Chris C Que |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1669432043 PECOS PAC ID: 5496846248 Enrollment ID: I20210729004065 |
Provider Name | Kari C Morris |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720751308 PECOS PAC ID: 2163828211 Enrollment ID: I20210915000950 |
Provider Name | Holly H Watson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417520115 PECOS PAC ID: 0840688321 Enrollment ID: I20211103000196 |
Provider Name | Melanie A Bradford |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679149223 PECOS PAC ID: 6406248293 Enrollment ID: I20220128001702 |
Provider Name | David Ulery |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1477914141 PECOS PAC ID: 2264724046 Enrollment ID: I20220609000179 |
Provider Name | Hudson T Mcginnis |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1396126256 PECOS PAC ID: 8921317066 Enrollment ID: I20220801002910 |
Provider Name | Daniel P Cirino |
---|---|
Provider Type | Practitioner - Rheumatology |
Provider Identifiers | NPI Number: 1275066508 PECOS PAC ID: 4688948235 Enrollment ID: I20220830001733 |
Provider Name | Jayne Deputy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427783208 PECOS PAC ID: 9830566157 Enrollment ID: I20221029000109 |
Provider Name | Giorgie L Vining |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1649995739 PECOS PAC ID: 8527438555 Enrollment ID: I20230112001060 |
Provider Name | Sungji Chai |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1245238674 PECOS PAC ID: 7517907025 Enrollment ID: I20230320002193 |
Provider Name | Jonathan E Fox |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1174151237 PECOS PAC ID: 8628497336 Enrollment ID: I20230913001469 |
Provider Name | Molly K Haas |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1831726702 PECOS PAC ID: 3072932672 Enrollment ID: I20231004001438 |
Provider Name | Mandy S Shumate |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467130831 PECOS PAC ID: 4789039108 Enrollment ID: I20231004003335 |
Provider Name | Kelli Davis Nowikowski |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1194983759 PECOS PAC ID: 5597935973 Enrollment ID: I20231016002288 |
Provider Name | Caron Gutovitz |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1033348586 PECOS PAC ID: 1153475348 Enrollment ID: I20231127002646 |
Provider Name | Robert A Erdin |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1538144209 PECOS PAC ID: 6406831882 Enrollment ID: I20240126001763 |
Provider Name | Philip S Harry |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1003805359 PECOS PAC ID: 3678487188 Enrollment ID: I20240223001171 |
Provider Name | Sharon Melinda Spears |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356981021 PECOS PAC ID: 4385051325 Enrollment ID: I20240405002220 |
Total Health Acute Treatment Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 381 Deerfield Rd, Suite B, Boone, NC 28607 Phone: 828-262-3733 Fax: 828-262-3819 | |
Harter Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 237 Longvue Dr, Suite A, Boone, NC 28607 Phone: 828-264-7222 Fax: 828-264-5485 | |
Mountain Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 245 Winklers Creek Rd, Boone, NC 28607 Phone: 615-920-7000 | |
Fryecare Family Medicine Watauga Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 178 Highway 105 Ext, Suite 201, Boone, NC 28607 Phone: 828-262-1800 | |
Compassionate Care Of Nc, P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 520 Church Rd, Boone, NC 28607 Phone: 828-963-9400 Fax: 828-963-1973 | |
Appalachian Gastroenterology Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 870 State Farm Rd, Suite 102, Boone, NC 28607 Phone: 828-264-0029 Fax: 828-265-3305 | |
Willow Tree Medical Concepts Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 128 Meadowview Dr, Boone, NC 28607 Phone: 828-264-2727 Fax: 828-264-2722 |