NPI Code Details Logo

NPI 1073611091

NPI 1073611091 : STEPHEN WILLIAM NORTH M.D. : SPRUCE PINE, NC

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1073611091
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    STEPHEN WILLIAM NORTH M.D.
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    09/21/2006
-----------------------------------------------------
    Last Update Date     |    08/19/2022
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    11728 S 226 HWY 
-----------------------------------------------------
    City                 |    SPRUCE PINE
-----------------------------------------------------
    State                |    NC
-----------------------------------------------------
    Zip                  |    28777-8954
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    828-765-5672
-----------------------------------------------------
    Fax                  |    828-765-5676
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    PO BOX 602373 
-----------------------------------------------------
    City                 |    CHARLOTTE
-----------------------------------------------------
    State                |    NC
-----------------------------------------------------
    Zip                  |    28260-2373
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    828-213-1500
-----------------------------------------------------
    Fax                  |    828-651-6570
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207QA0000X
-----------------------------------------------------
    Taxonomy Name        |    Adolescent Medicine (Family Medicine) Physician
-----------------------------------------------------
    License Number       |    2006-00475
-----------------------------------------------------
    License Number State |    NC
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    207QA0401X
-----------------------------------------------------
    Taxonomy Name        |    Addiction Medicine (Family Medicine) Physician
-----------------------------------------------------
    License Number       |    326033
-----------------------------------------------------
    License Number State |    LA
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    207QA0401X
-----------------------------------------------------
    Taxonomy Name        |    Addiction Medicine (Family Medicine) Physician
-----------------------------------------------------
    License Number       |    286296
-----------------------------------------------------
    License Number State |    MA
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    207QA0401X
-----------------------------------------------------
    Taxonomy Name        |    Addiction Medicine (Family Medicine) Physician
-----------------------------------------------------
    License Number       |    223824
-----------------------------------------------------
    License Number State |    NY
-----------------------------------------------------
Taxonomy #5
-----------------------------------------------------
    Taxonomy Code        |    207QA0401X
-----------------------------------------------------
    Taxonomy Name        |    Addiction Medicine (Family Medicine) Physician
-----------------------------------------------------
    License Number       |    35.140995
-----------------------------------------------------
    License Number State |    OH
-----------------------------------------------------
Taxonomy #6
-----------------------------------------------------
    Taxonomy Code        |    207QA0401X
-----------------------------------------------------
    Taxonomy Name        |    Addiction Medicine (Family Medicine) Physician
-----------------------------------------------------
    License Number       |    T9199
-----------------------------------------------------
    License Number State |    TX
-----------------------------------------------------
Taxonomy #7
-----------------------------------------------------
    Taxonomy Code        |    207QA0401X
-----------------------------------------------------
    Taxonomy Name        |    Addiction Medicine (Family Medicine) Physician
-----------------------------------------------------
    License Number       |    MD61123191
-----------------------------------------------------
    License Number State |    WA
-----------------------------------------------------
Taxonomy #8
-----------------------------------------------------
    Taxonomy Code        |    207QA0401X
-----------------------------------------------------
    Taxonomy Name        |    Addiction Medicine (Family Medicine) Physician
-----------------------------------------------------
    License Number       |    206-00475
-----------------------------------------------------
    License Number State |    NC
-----------------------------------------------------
Taxonomy #9
-----------------------------------------------------
    Taxonomy Code        |    207Q00000X
-----------------------------------------------------
    Taxonomy Name        |    Family Medicine Physician
-----------------------------------------------------
    License Number       |    2006-00475
-----------------------------------------------------
    License Number State |    NC
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.