Medical Arts Plaza, P.C.
Organization Active NPI Family Medicine Physician · Jasper, TN
NPI 1497019707 · NPPES record last updated Aug 7, 2013
Key facts
- NPI
- 1497019707
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 25036 (TN)
- Legal business name
- MEDICAL ARTS PLAZA, P.C.
- Practice address
- 980 Highway 28
Suite 100
Jasper, TN 37347-3695 - Phone
- (423) 942-1602
- Fax
- (423) 942-1265
- NPI assigned
- Jul 2, 2012
- Organization subpart
- No
Authorized official
- Name
- Dr. Scott Eugene Desjarlais, M.D.
- Title
- Registered Agent
- Phone
- (423) 942-1602
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | 25036 | TN | Yes |
| Family Nurse Practitioner |
363LF0000X | 7170 | TN |
Addresses
Primary practice location
980 Highway 28
Suite 100
Jasper, TN 37347-3695
Mailing address
980 Highway 28
Suite 100
Jasper, TN 37347-3695
Phone (423) 942-1602
Other providers in Jasper, TN
- Parveen B Makhni
- Marion County Board of Education
- Marion Health and Wellness LLC
- Marion Health and Wellness LLC
- Jana Marlow
- Medical Equipment Distributors of Tenessee
- Paul A Miranda
- Isabelle Moore
- Edward L Mosley
- Northland Hearing Center, Inc.
All providers in Jasper, TN · Family Medicine Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.