Active NPI
Edward B. Steffner
- Sleep Disorder Diagnostic Clinic/Center
- Johnson City, TN
National Provider Identifier
1477561645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Disorder Diagnostic Clinic/Center
- Legal business name
- EDWARD B. STEFFNER
- Practice address
- 110 E Mountcastle Dr
Suite 4
Johnson City, TN 37601-2539 - Phone
- (423) 928-7770
- Fax
- (423) 283-0433
- NPI assigned
- Aug 4, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Edward B Steffner, R.R.T
- Title
- President - Owner
- Phone
- (423) 928-7770
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Disorder Diagnostic Clinic/Center | 261QS1200X | Primary |
Addresses
Primary practice location
110 E Mountcastle Dr
Suite 4
Johnson City, TN 37601-2539
Mailing address
110 E Mountcastle Dr
Suite 4
Johnson City, TN 37601-2539
Phone (423) 928-7770
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4130343 | Other | SD | BCBS OF TN |
National Provider Directory
National Provider DirectoryLocations
110 E Mountcastle Dr
Ste 4
Johnson City, TN 37601
Phone (423) 928-7770
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1262822400000",
"number": "1477561645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 E MOUNTCASTLE DR",
"address_2": "SUITE 4",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376012539",
"telephone_number": "423-928-7770",
"fax_number": "423-283-0433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 E MOUNTCASTLE DR",
"address_2": "SUITE 4",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376012539",
"telephone_number": "423-928-7770",
"fax_number": "423-283-0433"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EDWARD B. STEFFNER",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-04",
"last_updated": "2010-01-07",
"status": "A",
"authorized_official_last_name": "STEFFNER",
"authorized_official_first_name": "EDWARD",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "PRESIDENT - OWNER",
"authorized_official_telephone_number": "423-928-7770",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "R.R.T"
},
"taxonomies": [
{
"code": "261QS1200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Sleep Disorder Diagnostic",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF TN",
"identifier": "4130343",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Johnson City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.