1003873530 NPI number — DR. WALTER CURTIS PEARCY M.D.

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1003873530 NPI number — DR. WALTER CURTIS PEARCY M.D.

Employer Identification Number (EIN):

Provider Organization Name:

Provider Last Name:

PEARCY

Provider First Name:

WALTER

Provider Middle Name:

CURTIS

Provider Name Prefix Text:

DR.

Provider Name Suffix Text:

Provider Credential Text:

M.D.

Provider Gender Code:

M

Provider Other Organization Name:

Provider Other Organization Name Type Code:

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:

1003873530

Entity Type Code:

Individual

Replacement NPI:

Last Update Date:

09/21/2016

NPI Deactivation Reason Code:

NPI Deactivation Date:

NPI Reactivation Date:

Provider First Line Business Mailing Address:

1771 TATE BLVD SE

Provider Second Line Business Mailing Address:

SUITE 201

Provider Business Mailing Address City Name:

HICKORY

Provider Business Mailing Address State Name:

NC

Provider Business Mailing Address Postal Code:

28602-4249

Provider Business Mailing Address Country Code:

US

Provider Business Mailing Address Telephone Number:

828-324-4804

Provider Business Mailing Address Fax Number:

828-324-7256

Provider First Line Business Practice Location Address:

137 W PARKER RD

Provider Second Line Business Practice Location Address:

SUITE B

Provider Business Practice Location Address City Name:

MORGANTON

Provider Business Practice Location Address State Name:

NC

Provider Business Practice Location Address Postal Code:

28655-4622

Provider Business Practice Location Address Country Code:

US

Provider Business Practice Location Address Telephone Number:

828-430-9050

Provider Business Practice Location Address Fax Number:

828-430-8809

Provider Enumeration Date:

04/27/2006

Authorized Official Last Name:

Authorized Official First Name:

Authorized Official Middle Name:

Authorized Official Title or Position:

Authorized Official Telephone Number:

• Taxonomy code: 207RC0000X , with the licence number:  9401295 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

• Identifier: 2501837 . This is a "UNITED HEALTH CARE" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
• Identifier: P00654530 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
• Identifier: 060026203 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
• Identifier: 54211 . This is a "MEDCOST" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
• Identifier: 2204336A . This is a "FMC PROVIDER NUMBER" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
• Identifier: 2204336B . This is a "MPH PROVIDER NUMBER" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
• Identifier: 6638M . This is a "BCNC" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
• Identifier: 9594 . This is a "PARTNERS MEDICARE" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
• Identifier: 0862202002 . This is a "CIGNA" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
• Identifier: 4648906 . This is a "AETNA" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
• Identifier: 896638M , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
• Identifier: 216577 . This is a "MAMSI" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".