Active NPI
Hohenwald Medical Center
- Family Medicine Physician
- Hohenwald, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD0000021337
- Legal business name
- HOHENWALD MEDICAL CENTER
- Practice address
- 20 S Park St
Hohenwald, TN 38462-1413 - Phone
- (931) 796-7960
- Fax
- (931) 796-7790
- NPI assigned
- Apr 13, 2006
- Last updated
- Oct 8, 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
- Michael Parker
- Title
- Partner
- Phone
- (931) 796-7960
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD0000021337 | TN | Primary |
| Medical Physician Assistant | 363AM0700X | PA0000000781 | TN |
Addresses
Primary practice location
20 S Park St
Hohenwald, TN 38462-1413
Mailing address
PO Box 5
Hohenwald, TN 38462-0005
Phone (931) 796-7960
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physician Assistant
- Hohenwald, TN
- NPI 1568426567
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144886400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1191801600000",
"number": "1225092547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5",
"city": "HOHENWALD",
"state": "TN",
"postal_code": "384620005",
"telephone_number": "931-796-7960",
"fax_number": "931-796-7790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 S PARK ST",
"city": "HOHENWALD",
"state": "TN",
"postal_code": "384621413",
"telephone_number": "931-796-7960",
"fax_number": "931-796-7790"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOHENWALD MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-13",
"last_updated": "2007-10-08",
"status": "A",
"authorized_official_last_name": "PARKER",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "931-796-7960"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "TN",
"license": "MD0000021337",
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant, Medical",
"state": "TN",
"license": "PA0000000781",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hohenwald, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.