Organization Active NPI

Hamblen Neuroscience Center, P.C.

  • Specialist
  • Morristown, TN
National Provider Identifier
1376649285
Registry record updated Jan 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD31933 Issued in TN
Legal business name
HAMBLEN NEUROSCIENCE CENTER, P.C.
Practice address
1907 W Morris Blvd
Suite a 400
Morristown, TN 37813-3860
Phone
(423) 587-7144
Fax
(423) 587-7145
NPI assigned
Sep 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2011

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

Authorized official

Name
Dr. Abdelrahman H Mohamed, MD
Title
Director
Phone
(423) 587-7144

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MD31933 TN Primary

Addresses

Primary practice location

1907 W Morris Blvd
Suite a 400
Morristown, TN 37813-3860

Mailing address

1907 W Morris Blvd
Suite a 400
Morristown, TN 37813-3860
Phone (423) 587-7144

Other identifiers 1

IdentifierTypeStateIssuer
3731347MedicaidTN

National Provider Directory

National Provider Directory

Locations

1907 W Morris Blvd
Ste A400
Morristown, TN 37813
Phone (423) 587-7144

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295827200000",
    "number": "1376649285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1907 W MORRIS BLVD",
            "address_2": "SUITE A 400",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378133860",
            "telephone_number": "423-587-7144",
            "fax_number": "423-587-7145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1907 W MORRIS BLVD",
            "address_2": "SUITE A 400",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378133860",
            "telephone_number": "423-587-7144",
            "fax_number": "423-587-7145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMBLEN NEUROSCIENCE CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2011-01-24",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "ABDELRAHMAN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "423-587-7144",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TN",
            "license": "MD31933",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3731347",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.