| Western Carolina Digestive Consultants Pa | |
|
26 Westcare Drive Suite 304 Sylva NC 28779-5278 | |
| (828) 586-9200 | |
| (828) 586-7459 |
| Full Name | Western Carolina Digestive Consultants Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 26 Westcare Drive, Sylva, North Carolina |
| Authorized Official Name and Position | Traci Nichelle Knop (MANAGER) |
| Authorized Official Contact | 8285869200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Western Carolina Digestive Consultants Pa 26 Westcare Drive Suite 304 Sylva NC 28779-5278 Ph: (828) 586-9200 | Western Carolina Digestive Consultants Pa 26 Westcare Drive Suite 304 Sylva NC 28779-5278 Ph: (828) 586-9200 |
| NPI Number | 1790870830 |
|---|---|
| Provider Enumeration Date | 10/04/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 8820065477 |
|---|---|
| Medicare Enrollment ID | O20040913001268 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790870830 | NPI | - | NPPES |
| 890292K | Medicaid | NC | |
| 0292K | Other | NC | BLUECROSS BLUESHEILD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Randall L Savell |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1497849087 PECOS PAC ID: 8123925799 Enrollment ID: I20031212000881 |
| Provider Name | Cheryl Nicholson Owen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235224692 PECOS PAC ID: 2668420464 Enrollment ID: I20050108000007 |
| Provider Name | Leslie W Norris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376735423 PECOS PAC ID: 9436166899 Enrollment ID: I20060310000080 |
| Provider Name | Charles H Barrier |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1558364729 PECOS PAC ID: 5294875191 Enrollment ID: I20091229000099 |
| Provider Name | Phillip Stack |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1770678591 PECOS PAC ID: 3971695537 Enrollment ID: I20100818000560 |
| Provider Name | Margaret Gail Tolley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053619692 PECOS PAC ID: 0749450591 Enrollment ID: I20110902000412 |
| Provider Name | Ricardo J Perea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083058770 PECOS PAC ID: 5799928263 Enrollment ID: I20130830000796 |
| Provider Name | Philip E Tanner |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1215981600 PECOS PAC ID: 5799717500 Enrollment ID: I20150730011420 |
| Provider Name | Traci Turnquist Knop |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629438486 PECOS PAC ID: 3375796493 Enrollment ID: I20160331001678 |
| Provider Name | Gwen M Abdulhafid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487046983 PECOS PAC ID: 8325369572 Enrollment ID: I20160406000108 |
| Provider Name | Dana M Ashe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720457674 PECOS PAC ID: 6103135413 Enrollment ID: I20170112001961 |
| Provider Name | Jonathan William Bentley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720595424 PECOS PAC ID: 5092078873 Enrollment ID: I20180409000481 |
| Provider Name | Rocky Adams |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1932428851 PECOS PAC ID: 3375781685 Enrollment ID: I20200813003098 |
| Provider Name | Grace Meehyun Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295599439 PECOS PAC ID: 0244679314 Enrollment ID: I20240423000475 |
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