Healthcare Provider Details
I. General information
NPI: 1447713078
Provider Name (Legal Business Name): CATHERINE JACHTHUBER TRUB MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 04/10/2019
Last Update Date: 04/06/2026
Certification Date: 04/06/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
509 BILTMORE AVE
ASHEVILLE NC
28801-4601
US
IV. Provider business mailing address
3630 SUNNINGDALE WAY
DURHAM NC
27707-5654
US
V. Phone/Fax
- Phone: 828-213-1111
- Fax:
- Phone: 404-735-8825
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | 2022-00400 |
| License Number State | NC |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2080P0203X |
| Taxonomy | Pediatric Critical Care Medicine Physician |
| License Number | 2022-00400 |
| License Number State | NC |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2080P0204X |
| Taxonomy | Pediatric Emergency Medicine (Pediatrics) Physician |
| License Number | 2022-00400 |
| License Number State | NC |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: