Active NPI
Pioneer Foot and Ankle Specialists
- Podiatrist
- Bristol, TN
National Provider Identifier
1346661865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- DPM732
- Legal business name
- PIONEER FOOT AND ANKLE SPECIALISTS
- Practice address
- 28 Midway St
Bristol, TN 37620-1706 - Phone
- (423) 854-0001
- Fax
- (423) 854-0002
- NPI assigned
- Dec 31, 2013
- 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
- Dr. Paul Kent Wilson, MD
- Title
- Owner
- Phone
- (423) 854-0001
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | DPM732 | TN | Primary |
Addresses
Primary practice location
28 Midway St
Bristol, TN 37620-1706
Mailing address
926 West Oakland Ave Ste 206
Johnson City, TN 37604-4100
Phone (423) 854-0001
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatry Physician
- Johnson City, TN
- NPI 1073779799
-
- Family Medicine Physician
- Greeneville, TN
- NPI 1609819291
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1388448000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1388448000000",
"number": "1346661865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "926 WEST OAKLAND AVE STE 206",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376044100",
"telephone_number": "423-854-0001",
"fax_number": "423-854-0002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28 MIDWAY ST",
"city": "BRISTOL",
"state": "TN",
"postal_code": "376201706",
"telephone_number": "423-854-0001",
"fax_number": "423-854-0002"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PIONEER FOOT AND ANKLE SPECIALISTS",
"organizational_subpart": "NO",
"enumeration_date": "2013-12-31",
"last_updated": "2013-12-31",
"status": "A",
"authorized_official_last_name": "WILSON",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "KENT",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "423-854-0001",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "TN",
"license": "DPM732",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bristol, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.