Active NPI
Paul B. Nieves, DO
- Obstetrics & Gynecology Physician
- Union City, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 33328
- Practice address
- 1312 Bishop St
Union City, TN 38261-5406 - Phone
- (731) 885-5100
- Fax
- (731) 885-7584
- NPI assigned
- Jun 24, 2006
- Last updated
- Jan 8, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 33328 | IA | Primary |
Addresses
Primary practice location
1312 Bishop St
Union City, TN 38261-5406
Mailing address
PO Box 9
Kingsport, TN 37662-0009
Phone (423) 857-2093
Other practice location 1
105 W Stone Dr Ste 2B
Kingsport, TN 37660-3365
Phone (423) 247-7500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1517214 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, WV, AL, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Des Moines University of Osteopathic Medicine and Health Sciences, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1739 E Beverly Ave
Suite 200
Kingman, AZ 86409-3593
Phone (928) 681-8705
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2112 | TN | MD | Professional Counselor |
| 33328 | IA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fort Sanders Perinatal Center | Current | Accepting new patients | |
| Kingman Healthcare, Inc | Family Medicine | Current | Accepting new patients |
| Davis Memorial Hospital | Current | Accepting new patients | |
| Davis Memorial Hospital | Current | Accepting new patients | |
| Newton Clinic PC | Family Medicine | Current | Accepting new patients |
| Kingman Healthcare, Inc | Current | Accepting new patients | |
| Kingman Healthcare, Inc | Current | Accepting new patients | |
| Tennessee Orthopaedic Clinics PC | Past | Accepting new patients | |
| Kingman Healthcare, Inc | Family Medicine | Past | Accepting new patients |
Locations
1739 E Beverly Ave
Kingman, AZ 86409
Phone (928) 263-4547
1739 E Beverly Ave
Ste 200
Kingman, AZ 86409
Phone (928) 263-4722
3269 N Stockton Hill Rd
Kingman, AZ 86409
Phone (928) 757-0626
300 N 4th Ave E
Ste 200
Newton, IA 50208
Phone (641) 792-2112
501 19th St
Ste 401
Knoxville, TN 37916
Phone (865) 331-2020
Dept 888247
Knoxville, TN 37995
740 Middle Creek Rd
Ste 200
Sevierville, TN 37862
Phone (865) 908-9888
812 Gorman Ave
Elkins, WV 26241
Phone (304) 636-3300
Interoperability endpoints
- https://api.platform.athenahealth.com/31005/brand/1/csg/1/fhir/r4
- nievas.paul@st.direct.azkrmc.md
- nieves.paul@direct.azkrmc.md
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Kingman Regional Medical Center
- General Acute Care Hospital
- Kingman, AZ
- NPI 1265423917
Family Medicine
-
- Maternal & Fetal Medicine Physician
- Knoxville, TN
- NPI 1003811381
-
dba Davis Medical Center
- General Acute Care Hospital
- Elkins, WV
- NPI 1619964806
-
dba Health Center Pharmacy
- Community/Retail Pharmacy
- Elkins, WV
- NPI 1700663226
-
dba KRMC Community Pharmacy
- Community/Retail Pharmacy
- Kingman, AZ
- NPI 1992286298
-
- Family Medicine Physician
- Newton, IA
- NPI 1730115213
-
- Orthopaedic Surgery Physician
- Knoxville, TN
- NPI 1073172979
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Kingman Regional Medical Center
- General Acute Care Hospital
- Kingman, AZ
- NPI 1265423917
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546905600000",
"number": "1427084045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376620009",
"telephone_number": "423-857-2093",
"fax_number": "423-390-3340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1312 BISHOP ST",
"city": "UNION CITY",
"state": "TN",
"postal_code": "382615406",
"telephone_number": "731-885-5100",
"fax_number": "731-885-7584"
}
],
"practiceLocations": [
{
"address_1": "105 W Stone Dr Ste 2B",
"address_purpose": "LOCATION",
"city": "Kingsport",
"state": "TN",
"postal_code": "376603365",
"country_code": "US",
"telephone_number": "423-247-7500",
"fax_number": "423-247-7556",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NIEVES",
"first_name": "PAUL",
"middle_name": "B.",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-24",
"last_updated": "2019-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "IA",
"license": "33328",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1517214",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Union City, TN
- Tiffany Myers
- Renea L Nagel-Terrell, CFNP
- Molly Jean Napier, PNP
- New Leaf Counseling, LLC
- Kaleigh Newlin, LPN
- Northwest Commuity Services Agency
- Northwest Tennessee Cardiology Clinic, P. C.
- Northwest Tennessee Foot Clinic, PLLC
- Northwest TN Surgery Center, LLC (Union City Surgery Center)
- Kofi W Nuako, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.