Organization Active NPI

Randall J Falconer MD PC

  • Specialist
  • Kingsport, TN
National Provider Identifier
1043228646
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD0000018839 Issued in TN
Legal business name
RANDALL J FALCONER MD PC
Practice address
1728 N Eastman Road
Kingsport, TN 37664
Phone
(423) 230-6352
Fax
(423) 230-4859
NPI assigned
Aug 3, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jenny L Falconer
Title
Administrator
Phone
(423) 230-6352

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MD0000018839 TN Primary

Addresses

Primary practice location

1728 N Eastman Road
Kingsport, TN 37664

Mailing address

1728 N Eastman Road
Kingsport, TN 37664
Phone (423) 230-6352

National Provider Directory

National Provider Directory

Locations

1728 N Eastman Rd
Kingsport, TN 37664
Phone (423) 230-6352

1728 N Eastman Rd
Ste 2A
Kingsport, TN 37664
Phone (423) 230-6352

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": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043228646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1728 N EASTMAN ROAD",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "37664",
            "telephone_number": "423-230-6352",
            "fax_number": "423-230-4859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1728 N EASTMAN ROAD",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "37664",
            "telephone_number": "423-230-6352",
            "fax_number": "423-230-4859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDALL J FALCONER MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FALCONER",
        "authorized_official_first_name": "JENNY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "423-230-6352"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TN",
            "license": "MD0000018839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsport, TN

Sources for this page

  • 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.