NPIMap

Organization Active NPI

Shelbyville Clinic Corp

  • Pulmonary Disease Physician
  • Shelbyville, TN
National Provider Identifier
1366458754
Registry record updated Aug 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
SHELBYVILLE CLINIC CORP
Practice address
841 Union St
Suite 103
Shelbyville, TN 37160-2610
Phone
(931) 685-0986
NPI assigned
Jul 31, 2006
Organization subpart
Yes
Parent organization
SHELBYVILLE CLINIC CORPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 7, 2007

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

Authorized official

Name
William S Hussey
Title
CHS Sr GVP
Phone
(615) 465-7000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X Primary
Vascular Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0129X

Addresses

Primary practice location

841 Union St
Suite 103
Shelbyville, TN 37160-2610

Mailing address

841 Union St
Suite 103
Shelbyville, TN 37160-2610

Other names 1

  • Surgical Specialty Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Shelbyville Clinic Corp6 organizations share this tax ID, including this one
Part of
Shelbyville Clinic Corp

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186444800000",
    "number": "1366458754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "841 UNION ST",
            "address_2": "SUITE 103",
            "city": "SHELBYVILLE",
            "state": "TN",
            "postal_code": "371602610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 UNION ST",
            "address_2": "SUITE 103",
            "city": "SHELBYVILLE",
            "state": "TN",
            "postal_code": "371602610",
            "telephone_number": "931-685-0986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELBYVILLE CLINIC CORP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHELBYVILLE CLINIC CORP",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-08-07",
        "status": "A",
        "authorized_official_last_name": "HUSSEY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CHS SR GVP",
        "authorized_official_telephone_number": "615-465-7000"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Surgical Specialty Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shelbyville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2007; 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.