John Lawson Surgical Group

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

21566 Issued in TN

Legal business name

JOHN LAWSON SURGICAL GROUP

Practice address

3 Professional Park Dr
Suite 31
Johnson City, TN 37604-6529

Phone

(423) 975-5650

NPI assigned

Oct 21, 2016

Last updated

Oct 21, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth Cutshall, M.DNPI 1700872959

Title

Surgeon

Phone

(423) 975-5650

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kenneth E. Cutshall, MD

  • Surgery Physician
  • Johnson City, TN
  • NPI 1700872959
  Authorized official Same address or phone
• Tony O. Haley, MD

  • Surgery Physician
  • Johnson City, TN
  • NPI 1154317220
  NPD

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

{
    "created_epoch": "1477008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477008000000",
    "number": "1033660386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 PROFESSIONAL PARK DR",
            "address_2": "SUITE 31",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376046529",
            "telephone_number": "423-975-5650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 PROFESSIONAL PARK DR",
            "address_2": "SUITE 31",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376046529",
            "telephone_number": "423-975-5650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN LAWSON SURGICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-21",
        "last_updated": "2016-10-21",
        "status": "A",
        "authorized_official_last_name": "CUTSHALL",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "SURGEON",
        "authorized_official_telephone_number": "423-975-5650",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "21566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ethan Jilek
• Luisa Jimenez-Ruble, PSYD
• Mary Rebekah Jimenez
• JJ Beans at Mooneys LLC (Mooneys Pharmacy)
• JJ Beans at Mooneys LLC (Mooney's Pharmacy)
• John Lawson Surgical Group, PC
• John Marshall Jewett DMD PLLC
• John McClellan Miller, MD
• Emmanuel Steven John, LCSW
• Michelle Leigh Johns, BS

• Family Nurse Practitioner in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2016; 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.