Active NPI
Howard Mize Jr., M.D.
- Orthopaedic Surgery Physician
- Kingsport, TN
National Provider Identifier
1538101704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- MD010500
- Practice address
- 2202 John B Dennis Hwy
Suite 100
Kingsport, TN 37660 - Phone
- (423) 245-3161
- Fax
- (423) 857-8129
- NPI assigned
- Jun 12, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | MD010500 | TN | Primary |
Addresses
Primary practice location
2202 John B Dennis Hwy
Suite 100
Kingsport, TN 37660
Mailing address
2202 John B Dennis Hwy
Suite 100
Kingsport, TN 37660
Phone (423) 245-3161
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3163490 | Medicaid | TN | |
| 006404715 | Medicaid | VA | |
| MD010500 | Other | TN | LICENSE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD010500 | TN | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Appalachian Orthopaedic Associates P C | Orthopaedic Surgery | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Kingsport, TN
- NPI 1669940078
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335916800000",
"number": "1538101704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2202 JOHN B DENNIS HWY",
"address_2": "SUITE 100",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "37660",
"telephone_number": "423-245-3161",
"fax_number": "423-857-8129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2202 JOHN B DENNIS HWY",
"address_2": "SUITE 100",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "37660",
"telephone_number": "423-245-3161",
"fax_number": "423-857-8129"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIZE",
"first_name": "HOWARD",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-12",
"last_updated": "2012-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "TN",
"license": "MD010500",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3163490",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "006404715",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "MD010500",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kingsport, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.