Basic Information
Provider Information | |||||||||
NPI: | 1285667790 | ||||||||
EntityType: | 1 | ||||||||
ReplacementNPI: |   | ||||||||
OrganizationName: |   | ||||||||
LastName: | HEY | ||||||||
FirstName: | DANIEL | ||||||||
MiddleName: | S | ||||||||
NamePrefix: | DR. | ||||||||
NameSuffix: |   | ||||||||
Credential: | M.D. | ||||||||
OtherOrganizationName: |   | ||||||||
OtherOrganizationType: |   | ||||||||
OtherLastName: |   | ||||||||
OtherFirstName: |   | ||||||||
OtherMiddleName: |   | ||||||||
OtherNamePrefix: |   | ||||||||
OtherNameSuffix: |   | ||||||||
OtherCredential: |   | ||||||||
OtherLastNameType: |   | ||||||||
Mailing Information | |||||||||
Address1: | 214 PINE ST | ||||||||
Address2: |   | ||||||||
City: | BLACK MOUNTAIN | ||||||||
State: | NC | ||||||||
PostalCode: | 287113022 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 8287742029 | ||||||||
FaxNumber: |   | ||||||||
Practice Location | |||||||||
Address1: | 1100 TUNNEL RD | ||||||||
Address2: |   | ||||||||
City: | ASHEVILLE | ||||||||
State: | NC | ||||||||
PostalCode: | 288052576 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 8282987911 | ||||||||
FaxNumber: |   | ||||||||
Other Information | |||||||||
ProviderEnumerationDate: | 07/08/2006 | ||||||||
LastUpdateDate: | 02/01/2022 | ||||||||
NPIDeactivationReasonCode: |   | ||||||||
NPIDeactivationDate: |   | ||||||||
NPIReactivationDate: |   | ||||||||
ProviderGenderCode: | M | ||||||||
AuthorizedOfficialLastName: |   | ||||||||
AuthorizedOfficialFirstName: |   | ||||||||
AuthorizedOfficialMiddleName: |   | ||||||||
AuthorizedOfficialTitleorPosition: |   | ||||||||
AuthorizedOfficialTelephone: |   | ||||||||
IsSoleProprietor: | N | ||||||||
IsOrganizationSubpart: |   | ||||||||
ParentOrganizationLBN: |   | ||||||||
AuthorizedOfficialNamePrefix: |   | ||||||||
AuthorizedOfficialNameSuffix: |   | ||||||||
AuthorizedOfficialCredential: |   | ||||||||
NPICertificationDate: | 04/14/2021 |
Taxonomy Information
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 200801730 | NC | N |   | Allopathic & Osteopathic Physicians | Family Medicine |   | 207QS1201X | 200801730 | NC | Y |   | Allopathic & Osteopathic Physicians | Family Medicine | Sleep Medicine |
ID Information
ID | Type | State | Issuer | Description | 010390885 | 05 | VA |   | MEDICAID | 014915C58 | 01 |   | MEDICARE INDIVIDUAL PTAN EFFECTIVE 09/01/07 | OTHER | 1720175953 | 01 | VA | CVFP SITE NPI | OTHER | 2133142 | 01 |   | UNITED HEALTHCARE GROUPS | OTHER | C03658 | 01 |   | MEDICARE GROUP PTAN EFFECTIVE 09/01/07 | OTHER | CA2436 | 01 |   | MEDICARE RAILROAD GROUP # | OTHER | 1528155892 | 01 | VA | CVFP CORPORATE NPI | OTHER | C05537 | 01 |   | MEDICARE GROUP NUMBER PRIOR TO 09/01/07 | OTHER | 012185C37 | 01 |   | MEDICARE PROVIDER NUMBER PRIOR TO 09/01/07 | OTHER | 029F7 | 01 | NC | BCBS OF NC | OTHER | 267212 | 01 |   | ANTHEM | OTHER | 451893 | 01 |   | SOUTHERN HEALTH | OTHER | 7419200 | 01 |   | AETNA | OTHER | P00425814 | 01 |   | MEDICARE RAILROAD PROVIDER NUMBER | OTHER |