Pulmonary Associates of Kingsport

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

PULMONARY ASSOCIATES OF KINGSPORT

Doing business as

Pulmonary Associates-Big Stone Gap

Practice address

1980 Holton Ave E
Suite 202
Big Stone Gap, VA 24219-3366

Phone

(276) 523-8860

Fax

(276) 523-8862

NPI assigned

May 18, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Shirley Hawkins

Title

Administrator

Phone

(423) 247-5197

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Pulmonary Associates-Big Stone Gap Doing business as

Locations

Practitioners 1

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

• Robert A. Rosser, MD

  • Pulmonary Disease Physician
  • Kingsport, TN
  • NPI 1184677924
  NPD (past)

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

{
    "created_epoch": "1274140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277164800000",
    "number": "1063731933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 W STONE DR",
            "address_2": "SUITE 100",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376606027",
            "telephone_number": "423-247-5197",
            "fax_number": "423-247-5254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1980 HOLTON AVE E",
            "address_2": "SUITE 202",
            "city": "BIG STONE GAP",
            "state": "VA",
            "postal_code": "242193366",
            "telephone_number": "276-523-8860",
            "fax_number": "276-523-8862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULMONARY ASSOCIATES OF KINGSPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-18",
        "last_updated": "2010-06-22",
        "status": "A",
        "authorized_official_last_name": "HAWKINS",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "423-247-5197",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65906208",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "85538",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "055800",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3700107",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pulmonary Associates-Big Stone Gap",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Morgan Paige Powers, FNP
• Shaine Powers, DO
• Premier 1 Healthcare LLC
• Jason Matthew Price
• Pro-Med Home Medical Equipment, Inc.
• Connie Louise Ramsey, BACHELOR OF ARTS AS
• Ethel Mae Reese, RN
• Katelyn Reynolds
• Sarah Maylene Riffle
• John Stuart Riley, MS

• Specialist in Big Stone Gap, VA
• Providers in Big Stone Gap, VA by specialty
• Specialist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2010; 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.