NPIMap

Organization Active NPI

Regional Neurosurgery, P.C.

  • Specialist
  • Kingsport, TN
National Provider Identifier
1104916238
Registry record updated Jan 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
23552 Issued in TN
Legal business name
REGIONAL NEUROSURGERY, P.C.
Practice address
999 Executive Park Blvd
Suite #102
Kingsport, TN 37660-4632
Phone
(423) 578-1518
Fax
(423) 230-6350
NPI assigned
Oct 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2011

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

Authorized official

Name
Dr. Gregory Corradino, M.D.
Title
President
Phone
(423) 578-1518

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 23552 TN Primary

Addresses

Primary practice location

999 Executive Park Blvd
Suite #102
Kingsport, TN 37660-4632

Mailing address

999 Executive Park Blvd
Suite #102
Kingsport, TN 37660-4632
Phone (423) 578-1518

National Provider Directory

National Provider Directory

Locations

999 Executive Park Blvd
Ste 102
Kingsport, TN 37660
Phone (423) 578-1518

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296172800000",
    "number": "1104916238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 EXECUTIVE PARK BLVD",
            "address_2": "SUITE #102",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376604632",
            "telephone_number": "423-578-1518",
            "fax_number": "423-230-6350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 EXECUTIVE PARK BLVD",
            "address_2": "SUITE #102",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376604632",
            "telephone_number": "423-578-1518",
            "fax_number": "423-230-6350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL NEUROSURGERY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2011-01-28",
        "status": "A",
        "authorized_official_last_name": "CORRADINO",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-578-1518",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TN",
            "license": "23552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsport, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2011; 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.