NPIMap

Organization Active NPI

Roane Medical Center

  • Hospitalist Physician
  • Harriman, TN
National Provider Identifier
1104023704
Registry record updated Jun 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
MD0000041558 Issued in TN
Legal business name
ROANE MEDICAL CENTER
Practice address
412 Devonia St
Harriman, TN 37748-2009
Phone
(865) 882-4440
NPI assigned
Jun 28, 2007
Last updated
Jun 11, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
COVENANT HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 11, 2009

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

Authorized official

Name
Teresa Steelman
Title
Supervisor
Phone
(865) 882-4440

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD0000030128 TN
Internal Medicine Physician 207R00000X MD0000038366 TN
Internal Medicine Physician 207R00000X MD0000010526 TN
Internal Medicine Physician 207R00000X MD42907 TN
Internal Medicine Physician 207R00000X MD27725 TN
Infectious Disease Physician 207RI0200X MD0000039076 TN
Hospitalist Physician 208M00000X MD0000041558 TN Primary

Addresses

Primary practice location

412 Devonia St
Harriman, TN 37748-2009

Mailing address

PO Box 1090
Harriman, TN 37748-1090
Phone (865) 882-4440

Other identifiers 2

IdentifierTypeStateIssuer
1982884656OtherNPI
1083633879OtherNPI

National Provider Directory

National Provider Directory
Tax ID family
Covent Health Roane2 organizations share this tax ID, including this one
Part of
Covent Health Roane

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/3c4a889f-c0c4-4f50-90d1-60f6a5ad9e7d/
  • FHIR API: https://fhir-myrecord.cerner.com/r4/9d9ce2ac-65e8-4488-a0f0-ba102e060a58/

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244678400000",
    "number": "1104023704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1090",
            "city": "HARRIMAN",
            "state": "TN",
            "postal_code": "377481090",
            "telephone_number": "865-882-4440",
            "fax_number": "865-882-4447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 DEVONIA ST",
            "city": "HARRIMAN",
            "state": "TN",
            "postal_code": "377482009",
            "telephone_number": "865-882-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROANE MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COVENANT HEALTH",
        "enumeration_date": "2007-06-28",
        "last_updated": "2009-06-11",
        "status": "A",
        "authorized_official_last_name": "STEELMAN",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "865-882-4440"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD0000030128",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD0000038366",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD0000010526",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD42907",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD27725",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "TN",
            "license": "MD0000039076",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TN",
            "license": "MD0000041558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1982884656",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1083633879",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harriman, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2009; 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.