WATAUGA MEDICAL CENTER INC NPI 1861567893

NPI Information

NPI: 1861567893
Provider Name: WATAUGA MEDICAL CENTER INC
Classification: Internal Medicine - 207RH0003X
Specialization: Hematology & Oncology
Entity Type: Organization
Doing Business As: WATAUGA MEDICAL CENTER
Address: 336 DEERFIELD RD
BOONE, NC
ZIP 28607
Phone: (828) 262-4100

Map and Directions

Get Directions

NPI Details

WATAUGA MEDICAL CENTER INC is a hematology and oncology internal medicine in Boone, NC. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. WATAUGA MEDICAL CENTER INC NPI is 1861567893. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Watauga Medical Center.

The provider's business location address is:

336 DEERFIELD RD
BOONE, NC
ZIP 28607-008
Phone: (828) 262-4100
Fax: (828) 262-4157

The provider's authorized official is Mary Etta Long .
The authorized official title is Sr Vp Medical Staff Relations and has the following contact phone number (828) 262-4133.

The enumeration date for this NPI number is 11/22/2006 and was last updated on 1/15/2025.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RH0003X	Internal Medicine	Hematology & Oncology			Yes
2	2085R0001X	Radiology	Radiation Oncology			No

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	07630	OTHER	NORTH CAROLINA	BCBS ONCOLOGY
2	8907630	MEDICAID	NORTH 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: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI

Next NPI