SMOKEY MOUNTAIN ANESTHESIA PC NPI 1538196829

NPI Information

  • NPI: 1538196829
  • Provider Name: SMOKEY MOUNTAIN ANESTHESIA PC
  • Classification: Nurse Anesthetist, Certified Registered - 367500000X
  • Entity Type: Organization
  • Address: 110 MED TECH PKWY
    JOHNSON CITY, TN
    ZIP 37604
  • Phone: (423) 722-0371

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NPI Details

SMOKEY MOUNTAIN ANESTHESIA PC is a nurse anesthetist certified registered in Johnson City, TN. The provider is (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. SMOKEY MOUNTAIN ANESTHESIA PC NPI is 1538196829. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

110 MED TECH PKWY
JOHNSON CITY, TN
ZIP 37604-004
Phone: (423) 722-0371

The provider's authorized official is James Root .
The authorized official title is Managing Partner and has the following contact phone number (423) 967-3436.

The enumeration date for this NPI number is 6/26/2006 and was last updated on 1/11/2022.

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
1367500000XNurse Anesthetist, Certified RegisteredYes

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
13723481MEDICAIDTENNESSEE

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: 11/21/2025

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