Tricity Pulmonary Medicine LLC

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

35140 Issued in TN

Legal business name

TRICITY PULMONARY MEDICINE LLC

Practice address

181 Dunlap Rd
Blountville, TN 37617-6333

Phone

(423) 323-7112

Fax

(423) 323-1393

NPI assigned

Oct 5, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Mirle R Girish, M.D.

Title

MD/Owner

Phone

(423) 612-0133

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1349395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349395200000",
    "number": "1285986885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3113",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376023113",
            "telephone_number": "423-915-1126",
            "fax_number": "423-915-0635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 DUNLAP RD",
            "city": "BLOUNTVILLE",
            "state": "TN",
            "postal_code": "376176333",
            "telephone_number": "423-323-7112",
            "fax_number": "423-323-1393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRICITY PULMONARY MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-05",
        "last_updated": "2012-10-05",
        "status": "A",
        "authorized_official_last_name": "GIRISH",
        "authorized_official_first_name": "MIRLE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "423-612-0133",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TN",
            "license": "35140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pulmonary Disease Physician in Blountville, TN
• Providers in Blountville, TN by specialty
• Pulmonary Disease Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2012; 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.