Tri-State Radiology

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

MD0000014904 Issued in TN

Legal business name

TRI-STATE RADIOLOGY

Practice address

1850 Old Knoxville Rd
Tazewell, TN 37879-3625

Phone

(423) 626-4211

Fax

(606) 248-1320

NPI assigned

Jun 20, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sunan Vongkasemsiri, M.D.NPI 1275578387

Title

President

Phone

(606) 248-1320

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sunan Vongkasemsiri, M.D.

  • Diagnostic Radiology Physician
  • Tazewell, TN
  • NPI 1275578387
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033155965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 596",
            "city": "TAZEWELL",
            "state": "TN",
            "postal_code": "378790596",
            "telephone_number": "606-248-1320",
            "fax_number": "606-248-1518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 OLD KNOXVILLE RD",
            "city": "TAZEWELL",
            "state": "TN",
            "postal_code": "378793625",
            "telephone_number": "423-626-4211",
            "fax_number": "606-248-1320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-STATE RADIOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VONGKASEMSIRI",
        "authorized_official_first_name": "SUNAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "606-248-1320",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "MD0000014904",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3036248",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tazewell Orthopaedic & Arthritis Clinic, PC
• Tennessee Cancer Specialists PLLC
• George Thompson, PA-C
• Trail of the Cumberlands Anesthesia Associates
• Tri State Sports Medicine and Rehabilitation Inc
• Deane Turner
• Value RX LLC
• Kyler Vogel, PA-C
• Sunan Vongkasemsiri, M.D.
• Trecinda Wallace, SPEECH PATHOLOGIST

• Diagnostic Radiology Physician in Tazewell, TN
• Providers in Tazewell, TN by specialty
• Diagnostic Radiology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.