NPIMap

Organization Active NPI

Wobegone, Inc.

  • Emergency Medicine Physician
  • Hendersonville, TN
National Provider Identifier
1518192582
Registry record updated May 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
WOBEGONE, INC.
Practice address
355 New Shackle Island Road
Emergency Department
Hendersonville, TN 37075-2300
Phone
(615) 338-1258
Fax
(615) 338-1251
NPI assigned
May 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2009

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

Authorized official

Name
Duane E. Harrison, M.D.NPI 1962427153
Title
Owner/President
Phone
(615) 860-8822

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X Primary

Addresses

Primary practice location

355 New Shackle Island Road
Emergency Department
Hendersonville, TN 37075-2300

Mailing address

P.O. Box 2019
Madison, TN 37116-2019
Phone (615) 860-8822

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1242777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242777600000",
    "number": "1518192582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 2019",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371162019",
            "telephone_number": "615-860-8822",
            "fax_number": "615-865-7598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 NEW SHACKLE ISLAND ROAD",
            "address_2": "EMERGENCY DEPARTMENT",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752300",
            "telephone_number": "615-338-1258",
            "fax_number": "615-338-1251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOBEGONE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-20",
        "last_updated": "2009-05-20",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "DUANE",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "615-860-8822",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2009; 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.