NPIMap

Organization Active NPI

US Diabetes Care of Morristown, LLC

  • Clinic/Center
  • Morristown, TN
National Provider Identifier
1255995916
Registry record updated Apr 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
US DIABETES CARE OF MORRISTOWN, LLC
Practice address
2231 Sandstone Drive
Morristown, TN 37814-2593
Phone
(423) 616-0625
NPI assigned
Apr 29, 2019
Last updated
Apr 29, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2019

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

Authorized official

Name
Chris Strohfeldt
Title
Practice Manager
Phone
(317) 500-1065

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

2231 Sandstone Drive
Morristown, TN 37814-2593

Mailing address

2231 Sandstone Drive
Morristown, TN 37814-2593
Phone (423) 616-0625

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190719001340 TN Part B Supplier - Clinic/Group Practice 5193051720 Receives reassigned benefits from 9 practitioners
Practice locations: Morristown, TN

National Provider Directory

National Provider Directory

Locations

2231 Sandstone Dr
Ste A
Morristown, TN 37814

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1556496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556496000000",
    "number": "1255995916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2231 SANDSTONE DRIVE",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378142593",
            "telephone_number": "423-616-0625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2231 SANDSTONE DRIVE",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378142593",
            "telephone_number": "423-616-0625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "US DIABETES CARE OF MORRISTOWN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-29",
        "last_updated": "2019-04-29",
        "status": "A",
        "authorized_official_last_name": "STROHFELDT",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "317-500-1065"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2019; 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.

Verify at the official NPI Registry.