Organization Active NPI

Middle Tennessee Occupational Medicine

  • Legal Medicine
  • Lebanon, TN
National Provider Identifier
1346535853
Registry record updated Jun 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
02209 Issued in TN
Legal business name
MIDDLE TENNESSEE OCCUPATIONAL MEDICINE
Practice address
936 Murfreesboro Rd
Lebanon, TN 37090-5350
Phone
(615) 443-1744
Fax
(615) 443-1374
NPI assigned
Jun 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2011

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

Authorized official

Name
Dr. Roy Phillip Johnson, MDNPI 1174668230
Title
Medical Director
Phone
(615) 443-1744

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal MedicineGroup: 193400000X SINGLE SPECIALTY GROUP 173000000X 02209 TN Primary

Addresses

Primary practice location

936 Murfreesboro Rd
Lebanon, TN 37090-5350

Mailing address

936 Murfreesboro Rd
Lebanon, TN 37090-5350
Phone (615) 443-1744

National Provider Directory

National Provider Directory

Locations

936 Murfreesboro Rd
Lebanon, TN 37090
Phone (615) 443-1744

Practitioners & affiliated clinicians

Practitioners 2

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": "1307923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307923200000",
    "number": "1346535853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "936 MURFREESBORO RD",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370905350",
            "telephone_number": "615-443-1744",
            "fax_number": "615-443-1374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "936 MURFREESBORO RD",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370905350",
            "telephone_number": "615-443-1744",
            "fax_number": "615-443-1374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLE TENNESSEE OCCUPATIONAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-13",
        "last_updated": "2011-06-13",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "PHILLIP",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "615-443-1744",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "TN",
            "license": "02209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2011; 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.