East TN Family Care LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

MD16795 Issued in TN

Legal business name

EAST TN FAMILY CARE LLC

Practice address

1548 Parkway
Suite 201
Sevierville, TN 37862-4019

Phone

(865) 429-0208

Fax

(865) 429-0202

NPI assigned

Nov 6, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Robert Mickey Maughon, M.D.

Title

Owner/Physician

Phone

(865) 429-0208

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1352160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352160000000",
    "number": "1134473655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1518",
            "city": "PIGEON FORGE",
            "state": "TN",
            "postal_code": "378681518",
            "telephone_number": "865-429-0208",
            "fax_number": "865-429-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1548 PARKWAY",
            "address_2": "SUITE 201",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378624019",
            "telephone_number": "865-429-0208",
            "fax_number": "865-429-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST TN FAMILY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-06",
        "last_updated": "2012-11-06",
        "status": "A",
        "authorized_official_last_name": "MAUGHON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "MICKEY",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "865-429-0208",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TN",
            "license": "MD16795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Frances Dukes, MD
• Sonia Mohanlal Dularam, M.S.
• Bradley Leroy Dyer, D.D.S.
• East Tennessee Children'S Primary Care Center, Inc.
• East Tennessee Oral & Maxillofacial Surgery, PC
• Elizabeth Joy Easton, MS
• Eddies Drug Store LLC
• Lauren Michelle Edmond, DO
• Joby R. Edmonds, CRNA
• Sarah Edmonds, FNP-C

• Primary Care Clinic/Center in Sevierville, TN
• Providers in Sevierville, TN by specialty
• Primary Care Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2012; 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.