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WELLMONT PHYSICIAN SERVICES INC NPI 1285680819


NPI Information

NPI: 1285680819
Provider Name: WELLMONT PHYSICIAN SERVICES INC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
999 EXECUTIVE PARK BLVD
SUITE 201
KINGSPORT, TN
ZIP 37660
Phone: (423) 224-3250
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WELLMONT PHYSICIAN SERVICES INC is an internal medicine in Kingsport, TN. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. WELLMONT PHYSICIAN SERVICES INC NPI is 1285680819. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

999 EXECUTIVE PARK BLVD
SUITE 201
KINGSPORT, TN
ZIP 37660-632
Phone: (423) 224-3250
Fax: (423) 224-3258

The provider's authorized official is Cindy Locke .
The authorized official title is Billing Administrator and has the following contact phone number (423) 224-3289.

The enumeration date for this NPI number is 5/25/2006 and was last updated on 9/16/2010.


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
1207L00000XAnesthesiologyNo
2363AS0400XPhysician AssistantSurgicalNo
3363LX0001XNurse PractitionerObstetrics & GynecologyNo
4363LP0200XNurse PractitionerPediatricsNo
5363AM0700XPhysician AssistantMedicalNo
6207Q00000XFamily MedicineNo
7207V00000XObstetrics & GynecologyNo
8207X00000XOrthopaedic SurgeryNo
9208000000XPediatricsNo
10367500000XNurse Anesthetist, Certified RegisteredNo
11207RH0003XInternal MedicineHematology & OncologyNo
12207RI0200XInternal MedicineInfectious DiseaseNo
13207VM0101XObstetrics & GynecologyMaternal & Fetal MedicineNo
14363L00000XNurse PractitionerNo
15207R00000XInternal 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
13709583MEDICARE PINTENNESSEE
2C06182MEDICARE PINVIRGINIA
3C04883MEDICARE PINVIRGINIA
4CC3169MEDICARE PINTENNESSEE
523305008OTHERTENNESSEEFEDERAL BLACK LUNG
61527279OTHERTENNESSEEUMWA
73709584MEDICARE PINTENNESSEE
81098710002MEDICARE NSCTENNESSEE
9DH0327MEDICARE PINKENTUCKY
10CC3164MEDICARE PINVIRGINIA
113709584MEDICAIDTENNESSEE
12C09205MEDICARE PINVIRGINIA
1365931099MEDICAIDKENTUCKY
14C06408MEDICARE PINVIRGINIA

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

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.