Ucsc Primary Care - Union County LLC

Primary specialty

ContractorTaxonomy code 171W00000X

License

MD36206 Issued in TN

Legal business name

UCSC PRIMARY CARE - UNION COUNTY LLC

Practice address

598 John Deere Dr
Maynardville, TN 37807-3212

Phone

(865) 951-2012

Fax

(865) 951-2575

NPI assigned

Aug 18, 2011

Organization subpart

No

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

Authorized official

Name

Patrick Downey, M.D.

Title

Medical Director

Phone

(865) 951-2012

Specialties & licenses 1

Addresses

Practitioners 1

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

• Marc A. Valley, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Johnson City, TN
  • NPI 1588641138
  NPD (past)

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

{
    "created_epoch": "1313625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313625600000",
    "number": "1386924686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "598 JOHN DEERE DR",
            "city": "MAYNARDVILLE",
            "state": "TN",
            "postal_code": "378073212",
            "telephone_number": "865-951-2012",
            "fax_number": "865-951-2575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "598 JOHN DEERE DR",
            "city": "MAYNARDVILLE",
            "state": "TN",
            "postal_code": "378073212",
            "telephone_number": "865-951-2012",
            "fax_number": "865-951-2575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UCSC PRIMARY CARE - UNION COUNTY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-18",
        "last_updated": "2011-08-18",
        "status": "A",
        "authorized_official_last_name": "DOWNEY",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "865-951-2012",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor",
            "state": "TN",
            "license": "MD36206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Thurman
• Jennifer Marie Tong, CCC/SLP
• Rachel Treadway
• Megan Turner, OTR/L
• Ucsc Primary Care
• Union County EMS
• Union County Health Department
• Union Discount Pharmacy Inc
• Union Family Medicine
• Richard Valente, LMSW

• Contractor in Maynardville, TN
• Providers in Maynardville, TN by specialty
• Contractor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.