Individual provider Active NPI

Joseph M. Nounou, MD

  • Anesthesiology Physician
  • Bristol, TN
National Provider Identifier
1386829430
Registry record updated Jul 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
44911 Issued in TN
Practice address
350 Blountville Hwy Ste 207
Bristol, TN 37620-1671
Phone
(423) 968-2313
NPI assigned
Jan 8, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 44911 TN Primary

Addresses

Primary practice location

350 Blountville Hwy Ste 207
Bristol, TN 37620-1671

Mailing address

350 Blountville Hwy Ste 207
Bristol, TN 37620-1671
Phone (423) 968-2313

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, WV, OH3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20091013000565 TN Practitioner - Anesthesiology 6204972813
I20220304001234 WV Practitioner - Anesthesiology 6204972813 Reassigns benefits to 3 organizations
I20220524000478 OH Practitioner - Anesthesiology 6204972813 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
THS Physician Partners IncGroup PAC ID 9537316393, 366 clinicians
Professional Anesthesia Service,Inc.Group PAC ID 2769387190, 44 clinicians

Practice addresses (Care Compare)

4605 Maccorkle Ave SW
South Charleston, WV 25309-1311
Phone (304) 414-4800

4605 Maccorkle Ave SW
Thomas Memorial Hospital
South Charleston, WV 25309-1398
Phone (304) 766-3600

Hospital & facility affiliations

  • Thomas Memorial Hospital Hospital, South Charleston, WV, CCN 510029

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
44911TNMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Associates of Cincinnati, Inc Anesthesiology CurrentSince Jun 1, 2022 Accepting new patients
THS Physician Partners Inc CurrentSince Jan 1, 2026 Accepting new patients
Northstar Anesthesia of West Virginia, PLLC Anesthesiology CurrentSince Dec 27, 2021 Accepting new patients
Professional Anesthesia Service,Inc. Anesthesiology CurrentSince Jan 3, 2024 Accepting new patients
Singing River Health System Past Accepting new patients

Locations

2139 Auburn Ave
Cincinnati, OH 45219
Phone (513) 585-0406

L3539
Columbus, OH 43260
Phone (304) 414-4800

265 Brookview Centre Way
Ste 400
Knoxville, TN 37919
Phone (865) 293-5549

110 Roane St
Charleston, WV 25302
Phone (304) 344-0096

1340 Hal Greer Blvd
Huntington, WV 25701
Phone (304) 399-2960

4605 Maccorkle Ave SW
South Charleston, WV 25309
Phone (304) 414-4800

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248307200000",
    "number": "1386829430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 BLOUNTVILLE HWY STE 207",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376201671",
            "telephone_number": "423-968-2313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 BLOUNTVILLE HWY STE 207",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376201671",
            "telephone_number": "423-968-2313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOUNOU",
        "first_name": "JOSEPH",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-08",
        "last_updated": "2009-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TN",
            "license": "44911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, TN

Sources for this page

Verify at the official NPI Registry.