Appalachia Health Services

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD0000030920 Issued in TN

Legal business name

APPALACHIA HEALTH SERVICES

Doing business as

APPALACHIA HEALTH SERVICES

Practice address

292 N Main St
Jellico, TN 37762-2132

Phone

(423) 784-3600

Fax

(423) 784-4602

NPI assigned

Oct 17, 2006

Organization subpart

No

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

Authorized official

Name

David A. Escalante, MDNPI 1427096551

Title

Ceo

Phone

(423) 784-3600

Specialties & licenses 5

Addresses

Other names 1

• APPALACHIA HEALTH SERVICES Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Appalachia Health Services LLC

  • Rural Health Clinic/Center
  • Williamsburg, KY
  • NPI 1952505612

  0547165227

  Same PAC ID

Locations

Practitioners 4

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

• David Escalante, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Jellico, TN
  • NPI 1427096551
  Medicare reassignment Authorized official
• Jenny Elizabeth Welch, FNP-BC

  • Family Nurse Practitioner
  • Clinton, TN
  • NPI 1255880134
  Medicare reassignment NPD
• Ruhul Ahmed Choudhury, MD

  • Internal Medicine Physician
  • Williamsburg, KY
  • NPI 1871531889

  TN

  Medicare reassignment
• Linda C. Hale, ARNP

  • Nurse Practitioner
  • Williamsburg, KY
  • NPI 1588791909
  NPD (past)

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413331200000",
    "number": "1568542009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "292 N MAIN ST",
            "city": "JELLICO",
            "state": "TN",
            "postal_code": "377622132",
            "telephone_number": "423-784-3600",
            "fax_number": "423-784-4602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "292 N MAIN ST",
            "city": "JELLICO",
            "state": "TN",
            "postal_code": "377622132",
            "telephone_number": "423-784-3600",
            "fax_number": "423-784-4602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPALACHIA HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2014-10-15",
        "status": "A",
        "authorized_official_last_name": "ESCALANTE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "423-784-3600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "TN",
            "license": "MD0000027929",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD0000030920",
            "primary": true
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": "MD0000025677",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TN",
            "license": "MD0000026093",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TN",
            "license": "MD0000021416",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "APPALACHIA HEALTH SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• A&E Healthcare
• Air Affiliates Inc
• Charles W Anders, D.M.D
• Appalachian Sleep Disorders Center LLC
• Nicole Ann Asante, FNP, PMHNP
• Associates in Eye Care, Inc.
• John Walter Baird, R.PH.
• Deana Barton, APRN

• Internal Medicine Physician in Jellico, TN
• Providers in Jellico, TN by specialty
• Internal Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2014; 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.

Verify at the official NPI Registry.