Active NPI
Ronald C Hamdy, MD
- Geriatric Medicine (Internal Medicine) Physician
- Johnson City, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- MD16253
- Practice address
- 2109 W Market St
Room 143
Johnson City, TN 37604 - Phone
- (423) 439-8830
- Fax
- (423) 439-8580
- NPI assigned
- Aug 25, 2005
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD16253 | TN | |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | MD16253 | TN | Primary |
Addresses
Primary practice location
2109 W Market St
Room 143
Johnson City, TN 37604
Mailing address
PO Box 699
Mountain Home, TN 37684-0699
Phone (423) 439-7280
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD16253 | TN | MD | Geriatric Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Education Assistance Corporation | Internal Medicine | Current | Accepting new patients |
| Medical Education Assistance Corporation | Internal Medicine | Past | Accepting new patients |
Locations
325 N State of Franklin Rd
Fl 2
Johnson City, TN 37604
Phone (423) 439-7280
325 N State of Franklin Rd
Johnson City, TN 37604
Phone (423) 439-7280
325 N State of Franklin Rd
Fl 3
Johnson City, TN 37604
Phone (423) 439-7201
222 E Main St
Johnson City, TN 37604
Phone (423) 433-6200
2109 W Market St
Rm 143
Johnson City, TN 37604
Phone (423) 439-8830
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Johnson City, TN
- NPI 1235180480
-
- Obstetrics & Gynecology Physician
- Johnson City, TN
- NPI 1679842637
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534896000000",
"number": "1508859562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 699",
"city": "MOUNTAIN HOME",
"state": "TN",
"postal_code": "376840699",
"telephone_number": "423-439-7280",
"fax_number": "423-439-8110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2109 W MARKET ST",
"address_2": "ROOM 143",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "37604",
"telephone_number": "423-439-8830",
"fax_number": "423-439-8580"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMDY",
"first_name": "RONALD",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-25",
"last_updated": "2018-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TN",
"license": "MD16253",
"primary": false
},
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "TN",
"license": "MD16253",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Johnson City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.