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EXTENDED CARE PHYSICIANS - MOUNTAIN PA NPI 1104823087


NPI Information

NPI: 1104823087
Provider Name: EXTENDED CARE PHYSICIANS - MOUNTAIN, PA

Doing Business As: ECP NORTH CAROLINA, PA

Classification: Internal Medicine - 207RG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

Address:
90 SOUTHSIDE AVE
SUITE 300
ASHEVILLE, NC
ZIP 28801
Phone: (828) 277-4810
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EXTENDED CARE PHYSICIANS - MOUNTAIN, PA is a geriatric medicine internal medicine in Asheville, NC. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. EXTENDED CARE PHYSICIANS - MOUNTAIN, PA NPI is 1104823087. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Ecp North Carolina, Pa.

The provider's business location address is:

90 SOUTHSIDE AVE
SUITE 300
ASHEVILLE, NC
ZIP 28801-160
Phone: (828) 277-4810

The provider's authorized official is Robin Gleeson-warren .
The authorized official title is Credentialing Director and has the following contact phone number (828) 277-4810.

The enumeration date for this NPI number is 7/7/2005 and was last updated on 4/16/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineNo
2207R00000XInternal MedicineNo
3208D00000XGeneral PracticeNo
4363L00000XNurse PractitionerNo
5363LP0808XNurse PractitionerPsychiatric/Mental HealthNo
6363A00000XPhysician AssistantNo
7207QG0300XFamily MedicineGeriatric MedicineNo
82084P0805XPsychiatry & NeurologyGeriatric PsychiatryNo
9363LF0000XNurse PractitionerFamilyNo
10363LG0600XNurse PractitionerGerontologyNo
11363LA2200XNurse PractitionerAdult Health86999NORTH CAROLINANo
12363LA2100XNurse PractitionerAcute Care86999NORTH CAROLINANo
13207RG0300XInternal MedicineGeriatric Medicine200201376NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1011JKOTHERNORTH CAROLINABCBSNC
256162OTHERNORTH CAROLINAMEDCOST
3CG9205OTHERNORTH CAROLINARAILROAD MEDICARE
489011JKMEDICAIDNORTH CAROLINA
52344379MEDICARE PINNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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