Organization Active NPI

Medtec LLC

  • Prosthetic/Orthotic Supplier
  • Greeneville, TN
National Provider Identifier
1326394818
Registry record updated Mar 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
MEDTEC LLC
Practice address
124 S Main St
Greeneville, TN 37743-4922
Phone
(800) 735-0949
NPI assigned
Aug 2, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2013

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

Authorized official

Name
Mr. Jim Cutshaw
Title
Co-Owner
Phone
(423) 823-0793

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

124 S Main St
Greeneville, TN 37743-4922

Mailing address

1107 Blue Teal LN
Knoxville, TN 37922-9306

National Provider Directory

National Provider Directory

Locations

124 S Main St
Greeneville, TN 37743
Phone (423) 823-0793

1231 Tusculum Blvd
Ste 2
Greeneville, TN 37745
Phone (800) 735-0949

NPI Registry JSON

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

{
    "created_epoch": "1343865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362700800000",
    "number": "1326394818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 BLUE TEAL LN",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379229306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 S MAIN ST",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377434922",
            "telephone_number": "800-735-0949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDTEC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-02",
        "last_updated": "2013-03-08",
        "status": "A",
        "authorized_official_last_name": "CUTSHAW",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "423-823-0793",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeneville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2013; 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.