| Ashe Multispecialty Group, LLC | |
|
200 Hospital Ave Ste 1 Jefferson NC 28640-9244 | |
| (336) 846-0821 | |
| Not Available |
| Full Name | Ashe Multispecialty Group, LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 200 Hospital Ave Ste 1, Jefferson, North Carolina |
| Authorized Official Name and Position | Richard Paul Brodeur (DIRECTOR OF PRACTICE MANAGEMENT) |
| Authorized Official Contact | 3368467101 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ashe Multispecialty Group, LLC 200 Hospital Ave Jefferson NC 28640-9244 | Ashe Multispecialty Group, LLC 200 Hospital Ave Ste 1 Jefferson NC 28640-9244 Ph: (336) 846-0821 |
| NPI Number | 1407146483 |
|---|---|
| Provider Enumeration Date | 04/12/2011 |
| Last Update Date | 04/20/2023 |
| Certification Date | 04/20/2023 |
| Medicare PECOS PAC ID | 8022296318 |
|---|---|
| Medicare Enrollment ID | O20110712000000 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407146483 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (NU) | Primary |
| 207X00000X | Orthopaedic Surgery | (NU) | Secondary |
| Provider Name | Hardayal Singh |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1982641551 PECOS PAC ID: 5799758116 Enrollment ID: I20040814000150 |
| Provider Name | Robert S Grajewski |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1235121740 PECOS PAC ID: 9234131939 Enrollment ID: I20070209000067 |
| Provider Name | Michael a Kepley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316939036 PECOS PAC ID: 0749326379 Enrollment ID: I20091012000415 |
| Provider Name | Tara Blalock Burgher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588814131 PECOS PAC ID: 8325355274 Enrollment ID: I20200506000480 |
| Provider Name | Jessica Shoemake Rupard |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1366024903 PECOS PAC ID: 3274933577 Enrollment ID: I20210608001564 |
| Provider Name | Gregory T Lang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487620951 PECOS PAC ID: 9133352719 Enrollment ID: I20220429002040 |
| Provider Name | Alicia Crane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619311461 PECOS PAC ID: 6204075732 Enrollment ID: I20230505002255 |
| Provider Name | James Paul Mortimer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750375184 PECOS PAC ID: 2567369812 Enrollment ID: I20230815000798 |
| Provider Name | Douglas Randolph Turgeon |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1861431793 PECOS PAC ID: 3375635147 Enrollment ID: I20240129000327 |
| Provider Name | Leah Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730590258 PECOS PAC ID: 9537385026 Enrollment ID: I20240318001946 |
| Provider Name | Fabiola Cardozo Morales |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578123956 PECOS PAC ID: 5698000271 Enrollment ID: I20240924000614 |
| Provider Name | Daniel Caputo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336337278 PECOS PAC ID: 1951490689 Enrollment ID: I20250317003320 |
High Country Family Medicine, PA Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 200 Hospital Ave, Suite 7, Jefferson, NC 28640 Phone: 336-846-7238 Fax: 336-846-2117 |
Apphealthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 225 Court St, Jefferson, NC 28640 Phone: 336-246-9449 |
Mount Jefferson Family Medicine, P.A. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Hospital Ave, Suite 3, Jefferson, NC 28640 Phone: 336-846-7433 Fax: 336-846-7878 |
Ashe Women & Children's Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Hospital Ave, Jefferson, NC 28640 Phone: 336-846-7101 |
Amh-mount Jefferson Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 200 Hospital Ave, Suite 3, Jefferson, NC 28640 Phone: 336-846-7433 Fax: 336-846-7878 |
Ashe Internal Medicine PA Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Hospital Ave, Suite 6, Jefferson, NC 28640 Phone: 336-846-1700 Fax: 336-846-1702 |