Cumberland Medical Center, Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD29435 Issued in TN

Legal business name

CUMBERLAND MEDICAL CENTER, INC

Doing business as

CMC Physician Group Crab Orchard

Practice address

326 Main Street
Crab Orchard, TN 37723

Phone

(931) 484-1031

NPI assigned

Jul 24, 2008

Last updated

Aug 15, 2008By 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. Angel Suzanne Turner

Title

Director

Phone

(931) 456-9434

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• CMC PHYSICIAN GROUP CRAB ORCHARD Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Cumberland Medical Center, Inc

  dba CMC Physician Group

  • Internal Medicine Physician
  • Crossville, TN
  • NPI 1053377812

  Member Of

  NPD member

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

{
    "created_epoch": "1216857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218758400000",
    "number": "1245495662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 SOUTH MAIN",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385555031",
            "telephone_number": "931-456-9434",
            "fax_number": "931-456-5061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 MAIN STREET",
            "city": "CRAB ORCHARD",
            "state": "TN",
            "postal_code": "37723",
            "telephone_number": "931-484-1031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUMBERLAND MEDICAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-24",
        "last_updated": "2008-08-15",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_middle_name": "SUZANNE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "931-456-9434",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "RN133351",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "DO1321",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD29435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3284115",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CMC PHYSICIAN GROUP CRAB ORCHARD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.