Active NPI
Joseph Charles Opie, M.D.
- Obstetrics & Gynecology Physician
- MC Kenzie, TN
National Provider Identifier
1497704993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MD23935
- Practice address
- 205 Hospital Dr
Suite a
MC Kenzie, TN 38201-1649 - Phone
- (731) 352-7907
- Fax
- (731) 352-4459
- NPI assigned
- May 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | MD23935 | TN | |
| Obstetrics & Gynecology Physician | 207V00000X | MD23935 | TN | Primary |
Addresses
Primary practice location
205 Hospital Dr
Suite a
MC Kenzie, TN 38201-1649
Mailing address
205 Hospital Dr
Suite a
MC Kenzie, TN 38201-1649
Phone (731) 352-7907
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1513385 | Medicaid | TN | |
| 3380640 | Other | TN | MEDICAID GROUP |
| 3380640 | Other | TN | MEDICARE GROUP |
| 23935 | Other | TN | MD LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD23935 | TN | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291075200000",
"number": "1497704993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 HOSPITAL DR",
"address_2": "SUITE A",
"city": "MC KENZIE",
"state": "TN",
"postal_code": "382011649",
"telephone_number": "731-352-7907",
"fax_number": "731-352-4459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 HOSPITAL DR",
"address_2": "SUITE A",
"city": "MC KENZIE",
"state": "TN",
"postal_code": "382011649",
"telephone_number": "731-352-7907",
"fax_number": "731-352-4459"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OPIE",
"first_name": "JOSEPH",
"middle_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-10",
"last_updated": "2010-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "TN",
"license": "MD23935",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "TN",
"license": "MD23935",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1513385",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID GROUP",
"identifier": "3380640",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "3380640",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MD LICENSE",
"identifier": "23935",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in MC Kenzie, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.