Active NPI
Roane Medical Center
- Orthopaedic Surgery Physician
- Kingston, TN
National Provider Identifier
1184823866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- MD00000029236
- Legal business name
- ROANE MEDICAL CENTER
- Practice address
- 814 N Kentucky St
Kingston, TN 37763-2678 - Phone
- (865) 376-6302
- Fax
- (865) 376-2989
- NPI assigned
- Jul 13, 2007
- 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
- Laurie Grayson
- Title
- Billing Clerk
- Phone
- (865) 882-4440
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | MD00000029236 | TN | Primary |
| Nurse Practitioner | 363L00000X | APN0000010675 | TN |
Addresses
Primary practice location
814 N Kentucky St
Kingston, TN 37763-2678
Mailing address
814 N Kentucky St
Kingston, TN 37763-2678
Other names 1
- Dr. J. Fred Znider
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184284800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1200528000000",
"number": "1184823866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "814 N KENTUCKY ST",
"city": "KINGSTON",
"state": "TN",
"postal_code": "377632678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "814 N KENTUCKY ST",
"city": "KINGSTON",
"state": "TN",
"postal_code": "377632678",
"telephone_number": "865-376-6302",
"fax_number": "865-376-2989"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROANE MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-13",
"last_updated": "2008-01-17",
"status": "A",
"authorized_official_last_name": "GRAYSON",
"authorized_official_first_name": "LAURIE",
"authorized_official_title_or_position": "BILLING CLERK",
"authorized_official_telephone_number": "865-882-4440"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "TN",
"license": "MD00000029236",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": "TN",
"license": "APN0000010675",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Dr. J. Fred Znider",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Kingston, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.