Provider Demographics
NPI:1265716922
Name:HOPSCOTCH PRIMARY CARE, PLLC
Entity type:Organization
Organization Name:HOPSCOTCH PRIMARY CARE, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:THIRATH
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:337-860-4721
Mailing Address - Street 1:6 BROOKLET ST
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-4505
Mailing Address - Country:US
Mailing Address - Phone:828-250-0898
Mailing Address - Fax:828-251-4671
Practice Address - Street 1:6 BROOKLET ST
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-4505
Practice Address - Country:US
Practice Address - Phone:828-250-0898
Practice Address - Fax:828-251-4671
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-29
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty