Provider Demographics
NPI:1033204540
Name:MOUNTAIN SLEEP AND RESPIRATORY MEDICINE PLLC
Entity Type:Organization
Organization Name:MOUNTAIN SLEEP AND RESPIRATORY MEDICINE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBBIE
Authorized Official - Middle Name:D
Authorized Official - Last Name:BUECHLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD/PHD
Authorized Official - Phone:828-350-1773
Mailing Address - Street 1:1 RESORT DRIVE
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28806-3815
Mailing Address - Country:US
Mailing Address - Phone:828-350-1773
Mailing Address - Fax:828-350-1774
Practice Address - Street 1:1 RESORT DRIVE
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28806-3815
Practice Address - Country:US
Practice Address - Phone:828-350-1773
Practice Address - Fax:828-350-1774
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2011-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC74075OtherBCBS-GROUP
NC5904914Medicaid
NC5904914Medicaid