Holston Pediatric and Adolescent Care

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

MD0000011946 Issued in TN

Legal business name

HOLSTON PEDIATRIC AND ADOLESCENT CARE

Practice address

698 Clinchfield St
Kingsport, TN 37660-3630

Phone

(423) 378-6202

Fax

(423) 246-8907

NPI assigned

Oct 12, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Joseph R Morin, MD

Title

Owner

Phone

(423) 378-6202

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lisa R Doran, FNP, PMH-NP

  • Family Nurse Practitioner
  • Kingsport, TN
  • NPI 1841300597
  NPD (past)
• Georgia Jane Williams, FNP

  • Nurse Practitioner
  • Kingsport, TN
  • NPI 1124110465
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1285723585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "698 CLINCHFIELD ST",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376603630",
            "telephone_number": "423-378-6202",
            "fax_number": "423-246-8907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "698 CLINCHFIELD ST",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376603630",
            "telephone_number": "423-378-6202",
            "fax_number": "423-246-8907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLSTON PEDIATRIC AND ADOLESCENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "MORIN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-378-6202",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "TN",
            "license": "MD0000011946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holston Medical Group PC
• Holston Medical Group PC
• Holston Medical Group, PC
• Holston Medical Group, PC (Med Plaza Orthopaedics)
• Holston NH Operations LLC (Holston Manor)
• Holston Regional Alternative Medicine
• Holston Regional Comprehensive Medicine
• Holston Valley Ambulatory Surgery Center, LLC
• Holston Valley Imaging Center
• Steven Holt, MD

• Pediatric Adolescent Medicine Physician in Kingsport, TN
• Providers in Kingsport, TN by specialty
• Pediatric Adolescent Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.