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MEDICAL EDUCATION ASSISTANCE CORPORATION NPI 1013130103


NPI Information

NPI: 1013130103
Provider Name: MEDICAL EDUCATION ASSISTANCE CORPORATION

Doing Business As: UNIVERSITY PHYSICIANS PRACTICE GROUP-ETSU FAMILY MEDICINE JOHNSON CITY

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 44D2004551

Address:
917 W WALNUT ST
JOHNSON CITY, TN
ZIP 37604
Phone: (423) 439-6464
Get Directions

MEDICAL EDUCATION ASSISTANCE CORPORATION is a family medicine in Johnson City, TN. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MEDICAL EDUCATION ASSISTANCE CORPORATION NPI is 1013130103. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As University Physicians Practice Group-etsu Family Medicine Johnson City.

The provider's business location address is:

917 W WALNUT ST
JOHNSON CITY, TN
ZIP 37604-527
Phone: (423) 439-6464
Fax: (423) 439-7118

The provider's authorized official is Russell E Lewis .
The authorized official title is Executive Director and has the following contact phone number (423) 433-6050.

The CLIA number assigned to this NPI record is 44D2004551 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 4/10/2007 and was last updated on 4/5/2019.


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
1207Q00000XFamily MedicineYes

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
1FE0040028OTHERDEA

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

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