Active NPI
Thomas Robert Klinner, MD
- Internal Medicine Physician
- Ooltewah, TN
National Provider Identifier
1497802052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 19093
- Practice address
- 9203 Lee Hwy Ste 9
Ooltewah, TN 37363-6458 - Phone
- (423) 238-4700
- Fax
- (423) 238-4747
- NPI assigned
- Jan 5, 2007
- Last updated
- Feb 16, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 19093 | TN | Primary |
Addresses
Primary practice location
9203 Lee Hwy Ste 9
Ooltewah, TN 37363-6458
Mailing address
9203 Lee Hwy
Suite 9
Ooltewah, TN 37363-6458
Phone (423) 238-4700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103351 | Medicaid | TN |
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
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Ooltewah, TN
- NPI 1407099716
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329350400000",
"number": "1497802052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9203 LEE HWY",
"address_2": "SUITE 9",
"city": "OOLTEWAH",
"state": "TN",
"postal_code": "373636458",
"telephone_number": "423-238-4700",
"fax_number": "423-238-4747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9203 LEE HWY STE 9",
"city": "OOLTEWAH",
"state": "TN",
"postal_code": "373636458",
"telephone_number": "423-238-4700",
"fax_number": "423-238-4747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLINNER",
"first_name": "THOMAS",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-05",
"last_updated": "2012-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TN",
"license": "19093",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103351",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ooltewah, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.