Provider Demographics
NPI:1093815755
Name:HARTYE, JAMES KILCOYNE (MD)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:KILCOYNE
Last Name:HARTYE
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:60 CALEDONIA RD
Mailing Address - Street 2:APT 105
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-0900
Mailing Address - Country:US
Mailing Address - Phone:502-774-8631
Mailing Address - Fax:828-681-1575
Practice Address - Street 1:60 CALEDONIA RD
Practice Address - Street 2:APT 105
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-0900
Practice Address - Country:US
Practice Address - Phone:502-774-8631
Practice Address - Fax:828-681-1575
Is Sole Proprietor?:No
Enumeration Date:2006-09-23
Last Update Date:2023-08-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY45792207Q00000X
NC23029207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
80088139OtherRAILROAD MEDICARE
14943OtherWELLPATH
1406859OtherUNITED HEALTH CARE
20177OtherCIGNA
NC207087COtherMEDICARE PTAN
40350OtherBLUE CROSS BLUE SHIELD
NC8940350Medicaid
NC8940350Medicaid
KYK079061Medicare PIN
1406859OtherUNITED HEALTH CARE
14943OtherWELLPATH
40350OtherBLUE CROSS BLUE SHIELD
80088139OtherRAILROAD MEDICARE
KYK079062Medicare PIN
KYK079065Medicare PIN