Organization Active NPI

Klinner Enterprises

  • Internal Medicine Physician
  • Ooltewah, TN
National Provider Identifier
1407099716
Registry record updated Aug 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD19093 Issued in TN
Legal business name
KLINNER ENTERPRISES
Practice address
9203 Lee Hwy
Suite 9
Ooltewah, TN 37363-6458
Phone
(423) 238-4700
Fax
(423) 238-4747
NPI assigned
Apr 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2009

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

Authorized official

Name
Dr. Thomas Robert Klinner, M.D.
Title
President
Phone
(423) 238-4700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X MD19093 TN Primary

Addresses

Primary practice location

9203 Lee Hwy
Suite 9
Ooltewah, TN 37363-6458

Mailing address

9203 Lee Hwy
Suite 9
Ooltewah, TN 37363-6458
Phone (423) 238-4700

Other identifiers 1

IdentifierTypeStateIssuer
103351MedicaidTN

National Provider Directory

National Provider Directory

Locations

9203 Lee Hwy
Ste 9
Ooltewah, TN 37363
Phone (423) 238-4700

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1239840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251158400000",
    "number": "1407099716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9203 LEE HWY",
            "address_2": "SUITE 9",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373636458",
            "telephone_number": "423-238-4700",
            "fax_number": "423-238-4747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9203 LEE HWY",
            "address_2": "SUITE 9",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373636458",
            "telephone_number": "423-238-4700",
            "fax_number": "423-238-4747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLINNER ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-16",
        "last_updated": "2009-08-25",
        "status": "A",
        "authorized_official_last_name": "KLINNER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-238-4700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD19093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103351",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ooltewah, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2009; 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.