NPIMap

Organization Active NPI

Hartline & Shahbazi Gynecology, PLLC

  • Clinic/Center
  • Knoxville, TN
National Provider Identifier
1306962683
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
HARTLINE & SHAHBAZI GYNECOLOGY, PLLC
Practice address
930 E Emerald Ave
Ste 713
Knoxville, TN 37917-4539
Phone
(865) 544-1345
Fax
(865) 544-1344
NPI assigned
Mar 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Randal Garnett Hartline, MD
Title
Owner
Phone
(865) 544-1345

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

930 E Emerald Ave
Ste 713
Knoxville, TN 37917-4539

Mailing address

930 E Emerald Ave
Ste 713
Knoxville, TN 37917-4539
Phone (865) 544-1345

National Provider Directory

National Provider Directory

Locations

Dept 888125
Knoxville, TN 37995

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306962683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 E EMERALD AVE",
            "address_2": "STE 713",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379174539",
            "telephone_number": "865-544-1345",
            "fax_number": "865-544-1344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 E EMERALD AVE",
            "address_2": "STE 713",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379174539",
            "telephone_number": "865-544-1345",
            "fax_number": "865-544-1344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARTLINE & SHAHBAZI GYNECOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARTLINE",
        "authorized_official_first_name": "RANDAL",
        "authorized_official_middle_name": "GARNETT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-544-1345",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.