MISSION COMMUNITY ANESTHESIOLOGY SPECIALISTS LLC
Complete NPI Record 1821568049
Internal Medicine - Hospice and Palliative Medicine in Asheville, NC

NPI Status: Active since November 30, 2018

Contact Information

509 BILTMORE AVE
ASHEVILLE, NC
ZIP 28801
Phone: (828) 213-1740

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  1. NPI
  2. Entity Type Code
  3. Employer Identification Number EIN
  4. Provider Organization Name Legal Business Name
  5. Provider First Line Business Mailing Address
  6. Provider Business Mailing Address City Name
  7. Provider Business Mailing Address State Name
  8. Provider Business Mailing Address Postal Code
  9. Provider Business Mailing Address Country Code If outside U S
  10. Provider Business Mailing Address Fax Number
  11. Provider First Line Business Practice Location Address
  12. Provider Business Practice Location Address City Name
  13. Provider Business Practice Location Address State Name
  14. Provider Business Practice Location Address Postal Code
  15. Provider Business Practice Location Address Country Code If outside U S
  16. Provider Business Practice Location Address Telephone Number
  17. Provider Enumeration Date
  18. Last Update Date
  19. Authorized Official Last Name
  20. Authorized Official First Name
  21. Authorized Official Title or Position
  22. Authorized Official Telephone Number
  23. Healthcare Provider Taxonomy Code 1
  24. Healthcare Provider Primary Taxonomy Switch 1
  25. Healthcare Provider Taxonomy Code 2
  26. Healthcare Provider Primary Taxonomy Switch 2
  27. Healthcare Provider Taxonomy Code 3
  28. Healthcare Provider Primary Taxonomy Switch 3
  29. Healthcare Provider Taxonomy Code 4
  30. Healthcare Provider Primary Taxonomy Switch 4
  31. Healthcare Provider Taxonomy Code 5
  32. Healthcare Provider Primary Taxonomy Switch 5
  33. Healthcare Provider Taxonomy Code 6
  34. Healthcare Provider Primary Taxonomy Switch 6
  35. Healthcare Provider Taxonomy Code 7
  36. Healthcare Provider Primary Taxonomy Switch 7
  37. Healthcare Provider Taxonomy Code 8
  38. Healthcare Provider Primary Taxonomy Switch 8
  39. Other Provider Identifier 1
  40. Other Provider Identifier Type Code 1
  41. Other Provider Identifier State 1
  42. Other Provider Identifier Issuer 1
  43. Is Organization Subpart
  44. Parent Organization LBN
  45. Parent Organization TIN
  46. Healthcare Provider Taxonomy Group 1
  47. Healthcare Provider Taxonomy Group 2
  48. Healthcare Provider Taxonomy Group 3
  49. Healthcare Provider Taxonomy Group 4
  50. Healthcare Provider Taxonomy Group 5
  51. Healthcare Provider Taxonomy Group 6
  52. Healthcare Provider Taxonomy Group 7
  53. Healthcare Provider Taxonomy Group 8

Complete NPI Dataset

This page represents the complete record for NPI 1821568049. You can access the complete dataset, including a full list of field names, along with their values, and definitions as recorded by the NPI registry. Each field in the NPI record is explained, highlighting its significance and the possible values it can hold.

NPI: 1821568049
The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
Entity Type Code: 2
Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Employer Identification Number EIN: UNAVAIL
The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
The name of the organization provider. If the provider is an organization, this is the legal business name.
Provider First Line Business Mailing Address: PO BOX 603366
The first line mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider first line location address’’.
Provider Business Mailing Address City Name: CHARLOTTE
The city name in the mailing address of the provider being identified.
Provider Business Mailing Address State Name: NC
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address State name’’.
Provider Business Mailing Address Postal Code: 282603366
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ‘‘Provider location address postal code’’.
Provider Business Mailing Address Country Code If outside U S : US
The country code in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address country code’’.
Provider Business Mailing Address Fax Number: 8286516575
The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address fax number’’.
Provider First Line Business Practice Location Address: 509 BILTMORE AVE
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City Name: ASHEVILLE
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State Name: NC
The State code in the location of the provider being identified.
Provider Business Practice Location Address Postal Code: 288014601
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Country Code If outside U S : US
The country code in the location address of the provider being identified.
Provider Business Practice Location Address Telephone Number: 8282131740
The telephone number associated with the location address of the provider being identified.
Provider Enumeration Date: 11/30/2018
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date: 11/30/2018
The date that a record was last updated or changed.
Authorized Official Last Name: HILL
The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
Authorized Official First Name: CAROL
The first name of the authorized official.
Authorized Official Title or Position: PROVIDER ENROLLMENT SPECIALIST
The title or position of the authorized official.
Authorized Official Telephone Number: 8286516579
The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code 1: 207LH0002X
Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Healthcare Provider Primary Taxonomy Switch 1: N
Healthcare Provider Taxonomy Code 2: 207QH0002X
Healthcare Provider Primary Taxonomy Switch 2: N
Healthcare Provider Taxonomy Code 3: 207VH0002X
Healthcare Provider Primary Taxonomy Switch 3: N
Healthcare Provider Taxonomy Code 4: 2080H0002X
Healthcare Provider Primary Taxonomy Switch 4: N
Healthcare Provider Taxonomy Code 5: 2081H0002X
Healthcare Provider Primary Taxonomy Switch 5: N
Healthcare Provider Taxonomy Code 6: 2084H0002X
Healthcare Provider Primary Taxonomy Switch 6: N
Healthcare Provider Taxonomy Code 7: 2086H0002X
Healthcare Provider Primary Taxonomy Switch 7: N
Healthcare Provider Taxonomy Code 8: 207RH0002X
Healthcare Provider Primary Taxonomy Switch 8: Y
Other Provider Identifier 1: 02CG9
Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
Other Provider Identifier Type Code 1: 01
Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
Other Provider Identifier State 1: NC
Other Provider Identifier Issuer 1: BCBS
Is Organization Subpart: Y
Parent Organization LBN: MISSION COMMUNITY ANESTHESIOLOGY SPECIALISTS LLC
Parent Organization TIN: UNAVAIL
Healthcare Provider Taxonomy Group 1: 193200000X MULTI-SPECIALTY GROUP
Healthcare Provider Taxonomy Group 2: 193200000X MULTI-SPECIALTY GROUP
Healthcare Provider Taxonomy Group 3: 193200000X MULTI-SPECIALTY GROUP
Healthcare Provider Taxonomy Group 4: 193200000X MULTI-SPECIALTY GROUP
Healthcare Provider Taxonomy Group 5: 193200000X MULTI-SPECIALTY GROUP
Healthcare Provider Taxonomy Group 6: 193200000X MULTI-SPECIALTY GROUP
Healthcare Provider Taxonomy Group 7: 193200000X MULTI-SPECIALTY GROUP
Healthcare Provider Taxonomy Group 8: 193200000X MULTI-SPECIALTY GROUP