Active NPI
Advanced Surgical Care of Tennessee
- Surgery Physician
- Livingston, TN
National Provider Identifier
1477919306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- ADVANCED SURGICAL CARE OF TENNESSEE
- Practice address
- 502 W Main St
Livingston, TN 38570-1718 - Phone
- (931) 823-4045
- Fax
- (931) 823-4059
- NPI assigned
- Jan 7, 2016
- Last updated
- Aug 4, 2021
- 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
- Timothy P. Klepper, MD
- Title
- Sole Member
- Phone
- (931) 823-4045
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
502 W Main St
Livingston, TN 38570-1718
Mailing address
PO Box 8
Livingston, TN 38570-0008
Phone (931) 823-4045
National Provider Directory
National Provider DirectoryLocations
502 W Main St
Livingston, TN 38570
Phone (931) 823-4045
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Surgery Physician
- Johnson City, TN
- NPI 1255488433
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452124800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1628035200000",
"number": "1477919306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8",
"city": "LIVINGSTON",
"state": "TN",
"postal_code": "385700008",
"telephone_number": "931-823-4045",
"fax_number": "931-823-4059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "502 W MAIN ST",
"city": "LIVINGSTON",
"state": "TN",
"postal_code": "385701718",
"telephone_number": "931-823-4045",
"fax_number": "931-823-4059"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED SURGICAL CARE OF TENNESSEE",
"organizational_subpart": "NO",
"enumeration_date": "2016-01-07",
"last_updated": "2021-08-04",
"certification_date": "2021-08-04",
"status": "A",
"authorized_official_last_name": "KLEPPER",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_middle_name": "P.",
"authorized_official_title_or_position": "SOLE MEMBER",
"authorized_official_telephone_number": "931-823-4045",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Livingston, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.