Provider Demographics
NPI:1407811292
Name:HITE, MICHAEL WESLEY (DO)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:WESLEY
Last Name:HITE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 WEST ST
Mailing Address - Street 2:
Mailing Address - City:BLACK MOUNTAIN
Mailing Address - State:NC
Mailing Address - Zip Code:28711-3166
Mailing Address - Country:US
Mailing Address - Phone:828-547-3266
Mailing Address - Fax:
Practice Address - Street 1:101 WEST ST
Practice Address - Street 2:
Practice Address - City:BLACK MOUNTAIN
Practice Address - State:NC
Practice Address - Zip Code:28711-3166
Practice Address - Country:US
Practice Address - Phone:828-547-3266
Practice Address - Fax:828-248-7715
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-18
Last Update Date:2024-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200401400207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCP01285774OtherMEDICARE RR
NCP01285774OtherMEDICARE RR