Active NPI
Valley Emergency Physicians Tennessee PC
- Emergency Medicine Physician
- Clarksville, TN
National Provider Identifier
1528579604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- VALLEY EMERGENCY PHYSICIANS TENNESSEE PC
- Practice address
- 651 Dunlop LN
Clarksville, TN 37040-5015 - Phone
- (931) 502-1000
- Fax
- (386) 274-7801
- NPI assigned
- Oct 17, 2017
- Last updated
- Dec 12, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Steve P Maron, MD
- Title
- President
- Phone
- (626) 447-0296
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | NU | ||
| Nurse Practitioner | 363L00000X | NU | ||
| Emergency Medicine Physician | 207P00000X | NU | Primary |
Addresses
Primary practice location
651 Dunlop LN
Clarksville, TN 37040-5015
Mailing address
PO Box 9246
Daytona Beach, FL 32120-9246
Phone (386) 274-7800
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508198400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1544572800000",
"number": "1528579604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9246",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321209246",
"telephone_number": "386-274-7800",
"fax_number": "386-274-7810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "651 DUNLOP LN",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370405015",
"telephone_number": "931-502-1000",
"fax_number": "386-274-7801"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VALLEY EMERGENCY PHYSICIANS TENNESSEE PC",
"organizational_subpart": "NO",
"enumeration_date": "2017-10-17",
"last_updated": "2018-12-12",
"status": "A",
"authorized_official_last_name": "MARON",
"authorized_official_first_name": "STEVE",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "626-447-0296",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clarksville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.