Johnson City Emergency Physicians, PC

Organization Active NPI Emergency Medicine Physician · Johnson City, TN

NPI 1376557348 · NPPES record last updated Nov 5, 2010

Key facts

NPI
1376557348
Entity type
Organization (NPI type 2)
Primary specialty
Emergency Medicine Physician 207P00000X
Legal business name
JOHNSON CITY EMERGENCY PHYSICIANS, PC
Practice address
1319 Sunset Dr
Suite 201
Johnson City, TN 37604-3799
Phone
(423) 926-6266
Fax
(423) 926-7599
NPI assigned
Jul 28, 2006
Organization subpart
No

Authorized official

Name
Gregory Micheal Hyder
Title
Practice Administrator
Phone
(423) 926-6266

Practitioners 78

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 78

National Provider Directory

Locations

515 W Buckeye Rd
Ste 201
Phoenix, AZ 85003
Phone (602) 253-2845

1319 Sunset Dr
Ste 201
Johnson City, TN 37604
Phone 4239266266 ext. 221

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
207P00000X Yes
Physician Assistant
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
363A00000X
Nurse Practitioner
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
363L00000X

Addresses

Primary practice location

1319 Sunset Dr
Suite 201
Johnson City, TN 37604-3799

Mailing address

PO Box 5576
Johnson City, TN 37602-5576
Phone (423) 926-6266

Other identifiers

IdentifierTypeStateIssuer
3712683MedicaidTN
CC3910OtherRAILROAD MEDICARE

Other providers in Johnson City, TN

All providers in Johnson City, TN · Emergency Medicine Physician in Tennessee

Sources for this page

Verify at the official NPI Registry.