1396917423 NPI number — ROBERT F GARFIELD

Table of content: (NPI 1396917423)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1396917423 NPI number — ROBERT F GARFIELD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ROBERT F GARFIELD
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
APPALACHAIN FAMILY FOOT CTR
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1396917423
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/15/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1998 HENDERSONVILLE RD
Provider Second Line Business Mailing Address:
SUITE 12
Provider Business Mailing Address City Name:
ASHEVILLE
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
28803-2349
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
828-687-4011
Provider Business Mailing Address Fax Number:
828-684-9197

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1998 HENDERSONVILLE RD
Provider Second Line Business Practice Location Address:
SUITE 12
Provider Business Practice Location Address City Name:
ASHEVILLE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28803-2349
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
828-687-4011
Provider Business Practice Location Address Fax Number:
828-684-9197
Provider Enumeration Date:
03/28/2008

Additional Information

Authorized Official

Authorized Official Last Name:
GARFIELD
Authorized Official First Name:
ROBERT
Authorized Official Middle Name:
FRANCIS
Authorized Official Title or Position:
PHYSICIAN
Authorized Official Telephone Number:
828-687-4011

Provider Taxonomy Codes

  • Taxonomy code: 213E00000X , with the licence number:  205 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 08070 . This is a "BCBS" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 480018517 . This is a "MEDICARE RR" identifier . This identifiers is of the category "OTHER".
  • Identifier: 5906585 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 7908070 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: P00408261 . This is a "MEDICARE RR" identifier . This identifiers is of the category "OTHER".




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