VA Medical Center Mountain Home, TN

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

TNPA036 Issued in TN

Legal business name

VA MEDICAL CENTER MOUNTAIN HOME, TN

Practice address

1St Street BLDG 204
James H. Quillen VA Medical Center Emergency Dept
Johnson City, TN 37684-4000

Phone

(423) 926-1171

NPI assigned

Oct 29, 2008

Organization subpart

No

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

Authorized official

Name

Mr. John Frank Testerman III, PA-C

Title

Physican Assistant

Phone

(423) 926-1171

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1225238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225238400000",
    "number": "1427201813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1ST STREET, BLDG 204",
            "address_2": "JAMES H. QUILLEN VA MEDICAL CENTER EMERGENCY DEPT",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "37684",
            "telephone_number": "423-926-1171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1ST STREET BLDG 204",
            "address_2": "JAMES H. QUILLEN VA MEDICAL CENTER EMERGENCY DEPT",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376844000",
            "telephone_number": "423-926-1171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VA MEDICAL CENTER MOUNTAIN HOME, TN",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-29",
        "last_updated": "2008-10-29",
        "status": "A",
        "authorized_official_last_name": "TESTERMAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "FRANK",
        "authorized_official_title_or_position": "PHYSICAN ASSISTANT",
        "authorized_official_telephone_number": "423-926-1171",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "TN",
            "license": "TNPA036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith Ann Upchurch, COTA
• Timothy Purnell Upchurch, MD
• Upper East TN Regional Juvenile Detention Center
• Rhythm Uprety, MD
• Uridez LLC
• Lauren Nicole Vahlkamp
• Valley Ridge Emergency Physicians, LLP
• Valley Ridge Emergency Physicians, LLP
• Valley Ridge Emergency Physicians, LLP
• Marc A. Valley, M.D.

• General Acute Care Hospital in Johnson City, TN
• Providers in Johnson City, TN by specialty
• General Acute Care Hospital in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2008; 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.