Thomas P. Bovine MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

14692 Issued in TN

Legal business name

THOMAS P. BOVINE MD

Practice address

7794 Rhea County Hwy Ste 101
Dayton, TN 37321-5981

Phone

(423) 775-3363

Fax

(423) 775-3366

NPI assigned

Oct 1, 2014

Organization subpart

No

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

Authorized official

Name

Carrie J Norton

Title

Office Coordinator

Phone

(423) 775-3363

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1412121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412121600000",
    "number": "1215330592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7794 RHEA COUNTY HWY STE 101",
            "city": "DAYTON",
            "state": "TN",
            "postal_code": "373215981",
            "telephone_number": "423-775-3363",
            "fax_number": "423-775-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7794 RHEA COUNTY HWY STE 101",
            "city": "DAYTON",
            "state": "TN",
            "postal_code": "373215981",
            "telephone_number": "423-775-3363",
            "fax_number": "423-775-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS P. BOVINE MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-01",
        "last_updated": "2014-10-01",
        "status": "A",
        "authorized_official_last_name": "NORTON",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE COORDINATOR",
        "authorized_official_telephone_number": "423-775-3363"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "14692",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "13493",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Dayton, TN
• Providers in Dayton, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2014; 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.