Active NPI
Morristown Pain Consultants
- Pain Medicine (Anesthesiology) Physician
- Knoxville, TN
National Provider Identifier
1073605663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- Legal business name
- MORRISTOWN PAIN CONSULTANTS
- Practice address
- 1124 N Broadway
Knoxville, TN 37917-6527 - Phone
- (865) 444-5059
- Fax
- (865) 540-6804
- NPI assigned
- Sep 29, 2006
- 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
- Michael Alan Chavin, MD
- Title
- Medical Director
- Phone
- (865) 444-5059
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 32281 | TN | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | TN | Primary |
Addresses
Primary practice location
1124 N Broadway
Knoxville, TN 37917-6527
Mailing address
1124 N Broadway
Knoxville, TN 37917-6527
Phone (865) 444-5059
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3378614 | Medicaid | TN | |
| 6455330001 | Other | TN | MEDICARE DME PTAN |
| 3848928 | Medicaid | TN |
Other names 1
- Broadway Neck and Spine
National Provider Directory
National Provider DirectoryLocations
1124 N Broadway St
Knoxville, TN 37917
Phone (865) 444-5059
1639 W Morris Blvd
Morristown, TN 37813
Phone (423) 586-0341
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Smyrna, TN
- NPI 1407068828
-
- Family Nurse Practitioner
- Piedmont, SC
- NPI 1487726279
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1528675200000",
"number": "1073605663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1124 N BROADWAY",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379176527",
"telephone_number": "865-444-5059",
"fax_number": "865-540-6804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1124 N BROADWAY",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379176527",
"telephone_number": "865-444-5059",
"fax_number": "865-540-6804"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MORRISTOWN PAIN CONSULTANTS",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-29",
"last_updated": "2018-06-11",
"status": "A",
"authorized_official_last_name": "CHAVIN",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "ALAN",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "865-444-5059",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": "TN",
"license": "32281",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": "TN",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3378614",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE DME PTAN",
"identifier": "6455330001",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3848928",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Broadway Neck and Spine",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.