NPI Code Detail JSON Logo

1114927738 NPI number — AMERICAN ANESTHESIOLOGY GROUP OF TENNESSEE, P. C.

NPI Number: 1114927738
Health Care Provider/Practitioner: AMERICAN ANESTHESIOLOGY GROUP OF TENNESSEE, P. C.

Information about “1114927738” NPI (AMERICAN ANESTHESIOLOGY GROUP OF TENNESSEE, P. C.) exists in 1114927738 in HTML format HTML  |  1114927738 in plain Text format TXT  |  1114927738 in PDF (Portable Document Format) PDF  |  1114927738 in an XML format XML  formats.

NPI Number : 1114927738 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1114927738",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "AMERICAN ANESTHESIOLOGY GROUP OF TENNESSEE, P. C.",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "135 W RAVINE RD STE 5-B",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "KINGSPORT",
    "MailingAddressStateName": "TN",
    "MailingAddressPostalCode": "37660-3847",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "423-224-3460",
    "MailingAddressFaxNumber": "423-224-3465",
    "FirstLinePracticeLocationAddress": "135 W RAVINE RD",
    "SecondLinePracticeLocationAddress": "STE 5-B",
    "PracticeLocationAddressCityName": "KINGSPORT",
    "PracticeLocationAddressStateName": "TN",
    "PracticeLocationAddressPostalCode": "37660-3847",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "423-224-3460",
    "PracticeLocationAddressFaxNumber": "423-224-3465",
    "EnumerationDate": "07/26/2005",
    "LastUpdateDate": "12/20/2019",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "ABDOU",
    "AuthorizedOfficialFirstName": "FRANCIS",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "AUTHORIZED OFFICIAL",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MD",
    "AuthorizedOfficialTelephoneNumber": "423-224-3460",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "207L00000X",
          "TaxonomyName": "Anesthesiology Physician",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "367500000X",
          "TaxonomyName": "Certified Registered Nurse Anesthetist",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
        }
      ]
    }
  }
}
                
            

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