Kingsport Urology Group

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

KINGSPORT UROLOGY GROUP

Practice address

1932 Brookside Dr
Kingsport, TN 37660-4602

Phone

(423) 349-6679

Fax

(423) 246-7169

NPI assigned

Apr 3, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Woodrow W. Reeves

Title

President

Phone

(423) 246-4155

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083735484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1932 BROOKSIDE DR",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376604602",
            "telephone_number": "423-349-6679",
            "fax_number": "423-246-7169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1932 BROOKSIDE DR",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376604602",
            "telephone_number": "423-349-6679",
            "fax_number": "423-246-7169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGSPORT UROLOGY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REEVES",
        "authorized_official_first_name": "WOODROW",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-246-4155",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kingsport Psychiatric Services
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• Kingsport Senior House, LLC
• Kingsport TN Ophthalmology ASC LLC
• Kingsport TN Ophthalmology ASC LLC
• Phillip D. Kirby, D.D.S.
• Kevin P Kirk, MD
• Richard B Kirk, MSW LCSW
• Heather L Kistner, M.S., CCC-A
• Peter John Kitching, OT

• Urology Physician in Kingsport, TN
• Providers in Kingsport, TN by specialty
• Urology Physician in Tennessee

• 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.