Organization Active NPI

John R Carder MD PC

  • Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
  • Knoxville, TN
National Provider Identifier
1417328543
Registry record updated Dec 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Undersea and Hyperbaric Medicine (Emergency Medicine) PhysicianTaxonomy code 207PE0005X
License
30444 Issued in TN
Legal business name
JOHN R CARDER MD PC
Practice address
1940 Alcoa Hwy
E40
Knoxville, TN 37920-2244
Phone
(865) 670-6750
Fax
(865) 670-6115
NPI assigned
Oct 15, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2015

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

Authorized official

Name
John Carder, MD
Title
Proprietor
Phone
(865) 692-3923

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Undersea and Hyperbaric Medicine (Emergency Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207PE0005X 30444 TN Primary

Addresses

Primary practice location

1940 Alcoa Hwy
E40
Knoxville, TN 37920-2244

Mailing address

PO Box 1731
Gilbert, AZ 85299-1731
Phone (865) 670-6750

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1444867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449619200000",
    "number": "1417328543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1731",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852991731",
            "telephone_number": "865-670-6750",
            "fax_number": "865-670-6115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 ALCOA HWY",
            "address_2": "E40",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379202244",
            "telephone_number": "865-670-6750",
            "fax_number": "865-670-6115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN R CARDER MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-15",
        "last_updated": "2015-12-09",
        "status": "A",
        "authorized_official_last_name": "CARDER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "865-692-3923",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207PE0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
            "state": "TN",
            "license": "30444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2015; 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.