NPIMap

Organization Active NPI

Johnson City Emergency Physicians, PC

  • Emergency Medicine Physician
  • Johnson City, TN
National Provider Identifier
1376557348
Registry record updated Nov 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 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
Last updated
Nov 5, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2010

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

Authorized official

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Nurse Practitioner 363L00000X
Emergency Medicine Physician 207P00000X Primary

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 2

IdentifierTypeStateIssuer
CC3910OtherRAILROAD MEDICARE
3712683MedicaidTN

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 78

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.

View all 78

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288915200000",
    "number": "1376557348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5576",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376025576",
            "telephone_number": "423-926-6266",
            "fax_number": "423-926-7599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 SUNSET DR",
            "address_2": "SUITE 201",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376043799",
            "telephone_number": "423-926-6266",
            "fax_number": "423-926-7599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON CITY EMERGENCY PHYSICIANS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2010-11-05",
        "status": "A",
        "authorized_official_last_name": "HYDER",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "MICHEAL",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "423-926-6266"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CC3910",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3712683",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2010; 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.