Stones River Medical Group PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

18433 Issued in TN

Legal business name

STONES RIVER MEDICAL GROUP PC

Practice address

726 S. Church Street
Murfreesboro, TN 37130

Phone

(615) 893-7786

Fax

(615) 893-7215

NPI assigned

Feb 8, 2007

Organization subpart

No

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

Authorized official

Name

Mark S. Josovitz, M.D.

Title

Medical Director

Phone

(615) 893-7786

Specialties & licenses 4

Addresses

Other identifiers 5

Locations

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299715200000",
    "number": "1437299195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "726 S CHURCH ST",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371304926",
            "telephone_number": "615-893-7786",
            "fax_number": "615-893-4811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "726 S. CHURCH STREET",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "37130",
            "telephone_number": "615-893-7786",
            "fax_number": "615-893-7215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONES RIVER MEDICAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2011-03-10",
        "status": "A",
        "authorized_official_last_name": "JOSOVITZ",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "615-893-7786",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "TN",
            "license": "18433",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "TN",
            "license": "MD7304",
            "primary": false
        },
        {
            "code": "2278E1000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Respiratory Therapist, Certified, Educational",
            "state": "TN",
            "license": "CRT000000948",
            "primary": false
        },
        {
            "code": "2279E1000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Respiratory Therapist, Registered, Educational",
            "state": "TN",
            "license": "RRT0000003934",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "B.PAUL TURPIN NPI#",
            "identifier": "1558466425",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCR INDIV. MARK JOSOVITZ",
            "identifier": "3822765",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARK S.JOSOVITZ NPI",
            "identifier": "1396827929",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "M-CAID TURPIN",
            "identifier": "3153365",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP SRMG",
            "identifier": "3716276",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Stones River Medical Management, P.C.
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• Specialist in Murfreesboro, TN
• Providers in Murfreesboro, TN by specialty
• Specialist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.