Sycamore Shoals Anesthesia Associates PC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

SYCAMORE SHOALS ANESTHESIA ASSOCIATES PC

Practice address

922 West G Street
Elizabethton, TN 37643-2935

Phone

(423) 542-2738

Fax

(423) 542-2738

NPI assigned

Mar 19, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Nyoka Jean Holder

Title

Office Manager BD Secy

Phone

(423) 542-2738

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

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.

• David Paul May, MD

  • Anesthesiology Physician
  • Elizabethton, TN
  • NPI 1023150547
  NPD
• James Kirkpatrick III, MD

  • Anesthesiology Physician
  • Elizabethton, TN
  • NPI 1366654048
  NPD (past)

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235254525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40",
            "city": "ELIZABETHTON",
            "state": "TN",
            "postal_code": "376440040",
            "telephone_number": "423-542-2738",
            "fax_number": "423-542-2738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "922 WEST G STREET",
            "city": "ELIZABETHTON",
            "state": "TN",
            "postal_code": "376432935",
            "telephone_number": "423-542-2738",
            "fax_number": "423-542-2738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYCAMORE SHOALS ANESTHESIA ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOLDER",
        "authorized_official_first_name": "NYOKA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OFFICE MANAGER BD SECY",
        "authorized_official_telephone_number": "423-542-2738",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3703755",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Liniece Storer, FNP-C, PMHNP-BC
• Kaylee M Stout, APRN
• Tiffany Michelle Stout, LPN
• Michaela Stowe, MSOT
• Rebekah Livingston Swink, M.D.
• Tammy Holsclaw-Jones OD PLLC
• Ronald Taylor
• Savannah Taylor
• Tennessee CVS Pharmacy LLC (CVS Pharmacy #07655)
• John R Testerman, M.D.

• Anesthesiology Physician in Elizabethton, TN
• Providers in Elizabethton, TN by specialty
• Anesthesiology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.