Active NPI
First Choice Neurosurgery
- Medical Specialty Clinic/Center
- Greeneville, TN
National Provider Identifier
1184838245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- 36815
- Legal business name
- FIRST CHOICE NEUROSURGERY
- Practice address
- 438 E Vann Rd
Suite 301
Greeneville, TN 37743-7202 - Phone
- (423) 392-9300
- Fax
- (423) 392-9365
- NPI assigned
- May 9, 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
- Larry P Hartman, M.D.
- Title
- Owner
- Phone
- (423) 392-9300
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse First Assistant | 163WR0006X | 139176 | TN | |
| Medical Specialty Clinic/Center | 261QM2500X | 36815 | TN | Primary |
| Durable Medical Equipment & Medical Supplies | 332B00000X | 36815 | TN |
Addresses
Primary practice location
438 E Vann Rd
Suite 301
Greeneville, TN 37743-7202
Mailing address
135 W Ravine Rd
Suite 4a
Kingsport, TN 37660-3847
Phone (423) 392-9300
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5803430001 | Other | TN | DME NUMBER |
| 3729788 | Medicaid | TN | |
| 4205736 | Other | TN | AETNA |
| 64059660 | Medicaid | KY | |
| 4103830 | Other | TN | BC BS |
| 177322 | Other | VA | ANTHEM |
| 9454636 | Other | TN | CIGNA |
National Provider Directory
National Provider DirectoryLocations
135 W Ravine Rd
Ste 4-A
Kingsport, TN 37660
Phone (423) 288-7458
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurological Surgery Physician
- Kingsport, TN
- NPI 1558339101
Durable Medical Equipment & Medical Supplies
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1184838245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 W RAVINE RD",
"address_2": "SUITE 4A",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376603847",
"telephone_number": "423-392-9300",
"fax_number": "423-392-9365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "438 E VANN RD",
"address_2": "SUITE 301",
"city": "GREENEVILLE",
"state": "TN",
"postal_code": "377437202",
"telephone_number": "423-392-9300",
"fax_number": "423-392-9365"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FIRST CHOICE NEUROSURGERY",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-09",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "HARTMAN",
"authorized_official_first_name": "LARRY",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "423-392-9300",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "163WR0006X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse, Registered Nurse First Assistant",
"state": "TN",
"license": "139176",
"primary": false
},
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "TN",
"license": "36815",
"primary": true
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "TN",
"license": "36815",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DME NUMBER",
"identifier": "5803430001",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3729788",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4205736",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64059660",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC BS",
"identifier": "4103830",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "177322",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "9454636",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greeneville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.