Organization Active NPI

Mountain Empire Medical and Surgical Associates PLLC

  • Internal Medicine Physician
  • Elizabethton, TN
National Provider Identifier
1043220338
Registry record updated Oct 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3707825MedicaidTN

National Provider Directory

National Provider Directory

Practitioners & 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.

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

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.

Verify at the official NPI Registry.