Basic Information
| Provider Information | |||||||||
| NPI: | 1467560391 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MCKAY | ||||||||
| FirstName: | MARTHA | ||||||||
| MiddleName: | KING | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 119 HENDERSONVILLE RD | ||||||||
| Address2: | |||||||||
| City: | ASHEVILLE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 288032868 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8282574730 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 123 HENDERSONVILLE RD | ||||||||
| Address2: | |||||||||
| City: | ASHEVILLE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 28803 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8282574730 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/29/2006 | ||||||||
| LastUpdateDate: | 06/04/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 39031 | NC | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
ID Information
| ID | Type | State | Issuer | Description | 1467560391 | 05 | NC | MEDICAID | 3400011 | 01 | NC | MEDICAID OSCAR | OTHER | 0081P | 01 | NC | BCBS SWINGBED | OTHER | 014MX | 01 | NC | BLUE CROSS LABS | OTHER | 235013 | 01 | NC | MEDICARE PHYSICIAN | OTHER | 00513 | 01 | NC | BLUE CROSS | OTHER | 34U011 | 01 | NC | MEDICARE SWINGBED | OTHER | 07673 | 01 | BLUE CROSS PHYSICIAN | OTHER | 411013849 | 01 | NC | RAILRAOD MEDICARE | OTHER | 235013B | 01 | NC | MEDICARE PHYSICIAN | OTHER | 56968 | 01 | NC | BCBS INDIVIDUAL PROVIDER | OTHER |