Oasis Medical Center LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

21497 Issued in TN

Legal business name

OASIS MEDICAL CENTER LLC

Practice address

4120 Bradford Hicks Dr
Livingston, TN 38570

Phone

(931) 823-5603

Fax

(931) 403-0574

NPI assigned

Sep 29, 2008

Organization subpart

No

Name

Kenneth L Colburn, MD

Title

Owner

Phone

(931) 823-5603

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

• Robert Joseph Adams, PA

  • Physician Assistant
  • Livingston, TN
  • NPI 1063787356
  NPD
• Amy Spears Hix, M.D.

  • Family Medicine Physician
  • Crossville, TN
  • NPI 1932100328

  Family Medicine

  NPD (past)
• Emily A Lee, F.N.P.

  • Family Nurse Practitioner
  • Livingston, TN
  • NPI 1518143130
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 29, 2008.

{
    "created_epoch": "1222646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222646400000",
    "number": "1376793216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4120 BRADFORD HICKS DR",
            "city": "LIVINGSTON",
            "state": "TN",
            "postal_code": "38570",
            "telephone_number": "931-823-5603",
            "fax_number": "931-403-0574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4120 BRADFORD HICKS DR",
            "city": "LIVINGSTON",
            "state": "TN",
            "postal_code": "38570",
            "telephone_number": "931-823-5603",
            "fax_number": "931-403-0574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OASIS MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-29",
        "last_updated": "2008-09-29",
        "status": "A",
        "authorized_official_last_name": "COLBURN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-823-5603",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "21497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New Life Supportive Living, LLC.
• Ashley Newman
• Pamela Nolen
• Kelly Norrod, NP-C
• Mark D Nowell, MD
• James Officer
• Mackenzie Rosemarie Officer, FNP-BC
• Dorothy Elizabeth Orsburn, MD
• Overton County Ambulance Service
• Overton County Health and Rehab Center

• All providers in Livingston, TN
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2008; 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.