Provider Demographics
NPI:1407894025
Name:MOUNTAIN VIEW GASTROENTEROLOGY, PA
Entity Type:Organization
Organization Name:MOUNTAIN VIEW GASTROENTEROLOGY, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:828-250-0510
Mailing Address - Street 1:200 CHARLOTTE ST
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-1923
Mailing Address - Country:US
Mailing Address - Phone:828-250-0510
Mailing Address - Fax:828-696-0948
Practice Address - Street 1:200 CHARLOTTE ST
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-1923
Practice Address - Country:US
Practice Address - Phone:828-250-0510
Practice Address - Fax:828-696-0948
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-04
Last Update Date:2010-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9501156207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC790146KMedicaid
0146KOtherBCBS
NC2218196Medicare PIN
F31286Medicare UPIN