Provider Demographics
NPI:1164470134
Name:MOUNTAIN AREA PEDIATRIC ASSOCIATES, P.A.
Entity Type:Organization
Organization Name:MOUNTAIN AREA PEDIATRIC ASSOCIATES, P.A.
Other - Org Name:MAPA
Other - Org Type:Other Name
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:STEUBER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-350-3340
Mailing Address - Street 1:500 CENTREPARK DRIVE
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28805-1262
Mailing Address - Country:US
Mailing Address - Phone:828-254-4337
Mailing Address - Fax:828-251-9240
Practice Address - Street 1:500 CENTREPARK DRIVE
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28805-1262
Practice Address - Country:US
Practice Address - Phone:828-254-4337
Practice Address - Fax:828-251-9240
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-04
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC890205VMedicaid