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DR. TIMOTHY PURNELL UPCHURCH MD NPI 1689628745


NPI Information

NPI: 1689628745
Provider Name: DR. TIMOTHY PURNELL UPCHURCH, MD
Classification: Psychiatry & Neurology - 2084V0102X
Entity Type: Individual

Specialization: Vascular Neurology

PECOS Registration: Yes

Address:
110 CORPORATE DR
JOHNSON CITY, TN
ZIP 37604
Phone: (423) 328-0363
Get Directions

DR. Timothy Purnell Upchurch, MD is a vascular neurology psychiatry neurology in Johnson City, TN with 23 years of experience. The provider is vascular Neurology is a subspecialty in the evaluation, prevention, treatment and recovery from vascular diseases of the nervous system. This subspecialty includes the diagnosis and treatment of vascular events of arterial or venous origin from a large number of causes that affect the brain or spinal cord such as ischemic stroke, intracranial hemorrhage, spinal cord ischemia and spinal cord hemorrhage. DR. Timothy Purnell Upchurch, MD NPI is 1689628745. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Graduation Year:2001

The provider's business location address is:

110 CORPORATE DR
JOHNSON CITY, TN
ZIP 37604-008
Phone: (423) 328-0363

The NPI 1689628745 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 5/20/2006 and was last updated on 2/12/2024.


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
12084V0102XPsychiatry & NeurologyVascular Neurology2012013562MISSOURINo
22084V0102XPsychiatry & NeurologyVascular Neurology12662573-1205UTAHNo
32084V0102XPsychiatry & NeurologyVascular Neurology036132897ILLINOISNo
42084V0102XPsychiatry & NeurologyVascular NeurologyMD50105IOWANo
52084V0102XPsychiatry & NeurologyVascular Neurology43687TENNESSEEYes
62084N0400XPsychiatry & NeurologyNeurology2012013562MISSOURINo
72084N0400XPsychiatry & NeurologyNeurology036132897ILLINOISNo
82084V0102XPsychiatry & NeurologyVascular Neurology42522OKLAHOMANo
92084V0102XPsychiatry & NeurologyVascular NeurologyMD61336519WASHINGTONNo
102084V0102XPsychiatry & NeurologyVascular Neurology4301111181MICHIGANNo

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
143687OTHERTENNESSEEMEDICAL LICENSE NUMBER

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.