Pigeon Forge TN Opco LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

PIGEON FORGE TN OPCO LLC

Practice address

415 Cole Dr
Pigeon Forge, TN 37863-3775

Phone

(646) 649-1131

NPI assigned

Jun 30, 2021

Organization subpart

No

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

Authorized official

Name

David Herskowitz

Title

Ceo

Phone

(212) 444-1991

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anton Christopher Daniel, MD

  • Internal Medicine Physician
  • Newport, TN
  • NPI 1700856135
  NPD (past)
• Eric Francis Hasemeier, DO

  • Family Medicine Physician
  • Dandridge, TN
  • NPI 1952365017
  NPD (past)

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

{
    "created_epoch": "1625011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675814400000",
    "number": "1487224440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 COLE DR",
            "city": "PIGEON FORGE",
            "state": "TN",
            "postal_code": "378633775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 COLE DR",
            "city": "PIGEON FORGE",
            "state": "TN",
            "postal_code": "378633775",
            "telephone_number": "646-649-1131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIGEON FORGE TN OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-30",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A",
        "authorized_official_last_name": "HERSKOWITZ",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "212-444-1991"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Poonam Patel
• Peaksight Family Eyecare PLLC
• Caryn Lynn Pickens, FNP-BC
• Pigeon Forge Drugs
• Pigeon Forge Medical Clinic
• Premise Health of Ohio Medical, P.a (Dollywood Family Healthcare Center)
• Pro Therapy Services of East Tennessee
• Publix Tennessee LLC (Publix Pharmacy #1515)
• Pulmacare Inc
• Rebecca Leigh Quilliams, MSN, FNP-C, RN

• Skilled Nursing Facility in Pigeon Forge, TN
• Providers in Pigeon Forge, TN by specialty
• Skilled Nursing Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2023; 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.