Active NPI
Hospital Based Medical Services of Tennessee-I PC
- Emergency Medicine Physician
- Smyrna, TN
National Provider Identifier
1093124471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- HOSPITAL BASED MEDICAL SERVICES OF TENNESSEE-I PC
- Practice address
- 200 Stonecrest Blvd
Ste 1600
Smyrna, TN 37167-6810 - Phone
- (469) 401-2386
- Fax
- (214) 712-2444
- NPI assigned
- Aug 11, 2014
- 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
- Kathy Kondas
- Title
- Officer
- Phone
- (973) 251-1132
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Primary | ||
| Physician Assistant | 363A00000X | |||
| Nurse Practitioner | 363L00000X |
Addresses
Primary practice location
200 Stonecrest Blvd
Ste 1600
Smyrna, TN 37167-6810
Mailing address
13737 Noel Rd
Ste 1600
Dallas, TX 75240-1331
National Provider Directory
National Provider DirectoryLocations
200 Stonecrest Blvd
Ste 1600
Smyrna, TN 37167
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407715200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1615161600000",
"number": "1093124471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13737 NOEL RD",
"address_2": "STE 1600",
"city": "DALLAS",
"state": "TX",
"postal_code": "752401331",
"fax_number": "214-712-2444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 STONECREST BLVD",
"address_2": "STE 1600",
"city": "SMYRNA",
"state": "TN",
"postal_code": "371676810",
"telephone_number": "469-401-2386",
"fax_number": "214-712-2444"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOSPITAL BASED MEDICAL SERVICES OF TENNESSEE-I PC",
"organizational_subpart": "NO",
"enumeration_date": "2014-08-11",
"last_updated": "2021-03-08",
"certification_date": "2021-03-08",
"status": "A",
"authorized_official_last_name": "KONDAS",
"authorized_official_first_name": "KATHY",
"authorized_official_title_or_position": "OFFICER",
"authorized_official_telephone_number": "973-251-1132"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Smyrna, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.