On Target Medical Clinic Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ON TARGET MEDICAL CLINIC INC

Practice address

490 Saint Andrews Dr
Ste 106
Murfreesboro, TN 37128-6578

Phone

(615) 962-7800

Fax

(615) 962-7879

NPI assigned

Oct 31, 2014

Last updated

Oct 31, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Robert Dunigan

Title

President

Phone

(615) 962-7800

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1414713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414713600000",
    "number": "1437554540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 SAINT ANDREWS DR",
            "address_2": "STE 106",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371286578",
            "telephone_number": "615-962-7800",
            "fax_number": "615-962-7879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 SAINT ANDREWS DR",
            "address_2": "STE 106",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371286578",
            "telephone_number": "615-962-7800",
            "fax_number": "615-962-7879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ON TARGET MEDICAL CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-31",
        "last_updated": "2014-10-31",
        "status": "A",
        "authorized_official_last_name": "DUNIGAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-962-7800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Murfreesboro, TN
• Providers in Murfreesboro, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2014; 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.