Active NPI
Medtec LLC
- Prosthetic/Orthotic Supplier
- Greeneville, TN
National Provider Identifier
1326394818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.