Healthcare Provider Details

I. General information

NPI: 1508958893
Provider Name (Legal Business Name): MICHAEL SCOT FLECK PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2006
Last Update Date: 06/24/2025
Certification Date: 06/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 VANDERBILT PARK DR FL 2
ASHEVILLE NC
28803-1700
US

IV. Provider business mailing address

7 VANDERBILT PARK DR FL 2
ASHEVILLE NC
28803-1700
US

V. Phone/Fax

Practice location:
  • Phone: 288-255-7776
  • Fax: 828-225-2631
Mailing address:
  • Phone: 288-255-7776
  • Fax: 828-225-2631

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number0010-05844
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number001005844
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: