Organization Active NPI

Roane Medical Center

  • Orthopaedic Surgery Physician
  • Kingston, TN
National Provider Identifier
1184823866
Registry record updated Jan 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MD00000029236 Issued in TN
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

Updated by the provider on Jan 17, 2008

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)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207X00000X MD00000029236 TN Primary
Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.