DR. W JAN KAZMIER M.D. NPI 1235197815

NPI Information

NPI: 1235197815
Provider Name: DR. W JAN KAZMIER, M.D.
Classification: Specialist - 174400000X
Entity Type: Individual

PECOS Registration: Yes

Address:
2995 FORT HENRY DR
SUITE 100
KINGSPORT, TN
ZIP 37664
Phone: (423) 246-6445
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DR. W Jan Kazmier, M.D. is a specialist in Kingsport, TN. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. W Jan Kazmier, M.D. NPI is 1235197815. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2995 FORT HENRY DR
SUITE 100
KINGSPORT, TN
ZIP 37664-005
Phone: (423) 246-6445
Fax: (423) 246-8240

The NPI 1235197815 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/3/2006 and was last updated on 7/18/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		MD0000016939	TENNESSEE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	110024502	OTHER	TENNESSEE	MEDICARE RAILROAD
2	079672	OTHER	VIRGINIA	ANTHEM BCBS
3	B59073	MEDICARE UPIN
4	3038457	MEDICAID	TENNESSEE
5	100010179	OTHER	TENNESSEE	PHP TENNESSEE
6	TN0101	OTHER	TENNESSEE	JOHN DEERE HEALTH
7	006036791	MEDICAID	VIRGINIA
8	3038458	MEDICARE ID-TYPE UNSPECIFIED	TENNESSEE	MEDICARE PROVIDER NUMBER
9	0078009	OTHER	TENNESSEE	BLUE CROSS/BLUE SHIELD
10	621482794	OTHER		TAX ID
11	01-41828	OTHER	TENNESSEE	UNITED HEALTHCARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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