OrganizationActive
Extended Care Physicians - Mountain, PA
NPI 1104823087 · Geriatric Medicine (Internal Medicine) Physician · Asheville, NC
Provider details
- NPI number
- 1104823087
- Entity type
- Organization
- Primary specialty
- Geriatric Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Robin Gleeson-Warren, Credentialing Director(828) 277-4810
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Geriatric Psychiatry Physician2084P0805X
Allopathic & Osteopathic Physicians
- Family Nurse Practitioner363LF0000X
Physician Assistants & Advanced Practice Nursing Providers
- Gerontology Nurse Practitioner363LG0600X
Physician Assistants & Advanced Practice Nursing Providers
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
Practice location
90 Southside Ave
Suite 300
Asheville, NC 28801-4160
Phone: (828) 277-4810
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 890291
Charlotte, NC 28289-0291
Other names (DBA / former)
- Doing business as
- Ecp North Carolina, PA
Registry dates
- Enumerated
- 2005-07-07
- Last updated
- 2015-04-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.