Johnson City OB/GYN Associates

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

JOHNSON CITY OB/GYN ASSOCIATES

Practice address

2 Professional Park Dr
Suite 21
Johnson City, TN 37604-6583

Phone

(423) 926-8813

Fax

(423) 926-8910

NPI assigned

Jul 7, 2006

Organization subpart

No

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

Authorized official

Name

Donna Presnell

Title

Office Manager

Phone

(423) 979-2536

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 1

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

• Amy D Carrillo, DO

  • Obstetrics & Gynecology Physician
  • Lexington, KY
  • NPI 1780878330
  NPD (past)

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276560000000",
    "number": "1528091386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 PROFESSIONAL PARK DR",
            "address_2": "SUITE 21",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376046583",
            "telephone_number": "423-926-8813",
            "fax_number": "423-926-8910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 PROFESSIONAL PARK DR",
            "address_2": "SUITE 21",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376046583",
            "telephone_number": "423-926-8813",
            "fax_number": "423-926-8910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON CITY OB/GYN ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2010-06-15",
        "status": "A",
        "authorized_official_last_name": "PRESNELL",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "423-979-2536"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3718898",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "790241Q",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TENNESSEE",
            "identifier": "4068254",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Johnson City Eye Clinic PC
• Johnson City Eye Surgery Center
• Johnson City Group Health, LLC
• Johnson City Health Property Investors, LLC
• Johnson City Medical Center
• Johnson City Oral and Maxillofacial Surgery, LLC
• Johnson City Physical Occupational Speech Outpatient Therapy, PLLC
• Johnson City Smiles, LLC
• Johnson City Speech and Language Therapy
• Johnson City Urological Clinic, P.C.

• Obstetrics & Gynecology Physician in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Obstetrics & Gynecology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.

Verify at the official NPI Registry.