Provider Demographics
NPI:1871780254
Name:ASHEVILLE MEDICINE & PEDIATRICS, LTD
Entity type:Organization
Organization Name:ASHEVILLE MEDICINE & PEDIATRICS, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CAREN
Authorized Official - Middle Name:JILL
Authorized Official - Last Name:SCHAU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-651-0121
Mailing Address - Street 1:600 JULIAN LN
Mailing Address - Street 2:SUITE 630
Mailing Address - City:ARDEN
Mailing Address - State:NC
Mailing Address - Zip Code:28704-7813
Mailing Address - Country:US
Mailing Address - Phone:828-651-0121
Mailing Address - Fax:828-651-0141
Practice Address - Street 1:600 JULIAN LN
Practice Address - Street 2:SUITE 630
Practice Address - City:ARDEN
Practice Address - State:NC
Practice Address - Zip Code:28704-7813
Practice Address - Country:US
Practice Address - Phone:828-651-0121
Practice Address - Fax:828-651-0141
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-28
Last Update Date:2015-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
2347840Medicare PIN