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FIRST CHOICE NEUROSURGERY PC NPI 1598817801


NPI Information

NPI: 1598817801
Provider Name: FIRST CHOICE NEUROSURGERY, PC
Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
135 W RAVINE RD
SUITE 4-A
KINGSPORT, TN
ZIP 37660
Phone: (423) 392-9300
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FIRST CHOICE NEUROSURGERY, PC is a medical specialty clinic center in Kingsport, TN. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). FIRST CHOICE NEUROSURGERY, PC NPI is 1598817801. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

135 W RAVINE RD
SUITE 4-A
KINGSPORT, TN
ZIP 37660-847
Phone: (423) 392-9300
Fax: (423) 392-9365

The provider's authorized official is Lawrence P Hartman .
The authorized official title is Owner and has the following contact phone number (423) 392-9300.

The enumeration date for this NPI number is 1/17/2007 and was last updated on 5/15/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1163WR0006XRegistered NurseRegistered Nurse First Assistant139176TENNESSEENo
2332B00000XDurable Medical Equipment & Medical Supplies36815TENNESSEENo
3261QM2500XClinic/CenterMedical Specialty36815TENNESSEEYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
14103830OTHERTENNESSEEBCBS TN
23729788MEDICAIDTENNESSEE
34205736OTHERTENNESSEEAETNA
4=========OTHERTENNESSEETRICARE
5177322OTHERTENNESSEEANTHEM BCBS VA
65803430001MEDICARE NSCTENNESSEE
7010165610MEDICAIDVIRGINIA
89454636OTHERTENNESSEECIGNA
961504100OTHERTENNESSEEOWCP
103729788MEDICARE ID-TYPE UNSPECIFIEDTENNESSEEMEDICARE
1164059660MEDICAIDKENTUCKY
12DD3260OTHERTENNESSEERR MEDICARE

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.