Healthcare Provider Details

I. General information

NPI: 1033405899
Provider Name (Legal Business Name): HIGHLANDS-CASHIERS PHYSICIAN SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/21/2011
Last Update Date: 06/21/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

190 HOSPITAL DR
HIGHLANDS NC
28741-7600
US

IV. Provider business mailing address

PO BOX 190
HIGHLANDS NC
28741-0190
US

V. Phone/Fax

Practice location:
  • Phone: 828-526-1200
  • Fax: 828-526-1285
Mailing address:
  • Phone: 828-526-1200
  • Fax: 828-526-1285

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL DAIKEN
Title or Position: CFO
Credential:
Phone: 828-526-1409