Active NPI
Mountain Empire Medical and Surgical Associates PLLC
- Internal Medicine Physician
- Elizabethton, TN
National Provider Identifier
1043220338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- MOUNTAIN EMPIRE MEDICAL AND SURGICAL ASSOCIATES PLLC
- Practice address
- 1503 W Elk Ave
Suite 8
Elizabethton, TN 37643-2876 - Phone
- (423) 542-0400
- Fax
- (423) 542-0201
- NPI assigned
- Aug 9, 2006
- Last updated
- Oct 21, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David S Hecht, MD
- Title
- President
- Phone
- (423) 542-0400
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | NU | Primary | |
| Surgery Physician | 208600000X | NU |
Addresses
Primary practice location
1503 W Elk Ave
Suite 8
Elizabethton, TN 37643-2876
Mailing address
1503 W Elk Ave
Suite 8
Elizabethton, TN 37643-2876
Phone (423) 542-0400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3707825 | Medicaid | TN |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Surgery Physician
- Elizabethton, TN
- NPI 1760435937
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1224547200000",
"number": "1043220338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1503 W ELK AVE",
"address_2": "SUITE 8",
"city": "ELIZABETHTON",
"state": "TN",
"postal_code": "376432876",
"telephone_number": "423-542-0400",
"fax_number": "423-542-0201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1503 W ELK AVE",
"address_2": "SUITE 8",
"city": "ELIZABETHTON",
"state": "TN",
"postal_code": "376432876",
"telephone_number": "423-542-0400",
"fax_number": "423-542-0201"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOUNTAIN EMPIRE MEDICAL AND SURGICAL ASSOCIATES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-09",
"last_updated": "2008-10-21",
"status": "A",
"authorized_official_last_name": "HECHT",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "423-542-0400",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3707825",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elizabethton, TN
- Melody Moore
- Emily Morefield, FNP-C
- Donald Keith Morley Sr., DDS
- Rebecca Morris, APN
- Kenneth Brent Morrow, PH.D., LMFT
- Mountain States Health Alliance (Sycamore Shoals Hospital Psychiatric Unit)
- Mountain States Health Alliance (Sycamore Shoals Hospital)
- Mountain States Medical Group
- Mountaineer Music Therapy Services LLC
- Stephen Mullins, COTA/L
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.