James H. Quillen/Vamc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

MD16826 Issued in TN

Legal business name

JAMES H. QUILLEN/VAMC

Practice address

Corner of Sidney and Lamont
Johnson City, TN 37684

Phone

(423) 926-1171

NPI assigned

Aug 25, 2006

Organization subpart

No

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

Authorized official

Name

Dr. David Lane, M.D.

Title

Medical Director

Phone

(423) 926-1171

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233014400000",
    "number": "1265549992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CORNER OF SIDNEY AND LAMONT",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "37684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CORNER OF SIDNEY AND LAMONT",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "37684",
            "telephone_number": "423-926-1171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES H. QUILLEN/VAMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2009-01-27",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "423-926-1171",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TN",
            "license": "MD16826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amira Jaddua, PHARM.D
• Ashwin Jagadish
• Priya Narayanan Jain, M.D.
• Vinay Jain, M.D.
• Gayatri Bala Jaishankar, M.D.
• Fatima Jamshaid, MBBS
• Pragna Janagam
• Katelyn Ann Jannenga, BSN, RN
• Cynthia Jansen
• Jonathan Curtis Jarman

• Clinic/Center in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2009; 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.