Active NPI
Austin James Puchany, DO
- Anesthesiology Physician
- Kingsport, TN
National Provider Identifier
1578293122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 6941
- Practice address
- 10415 Wallace Alley St
Kingsport, TN 37663-3936 - Phone
- (423) 390-0451
- NPI assigned
- Jun 15, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 6941 | TN | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | HS000288L | PA |
Addresses
Primary practice location
10415 Wallace Alley St
Kingsport, TN 37663-3936
Mailing address
3600 Forbes Ave Ste 140
Pittsburgh, PA 15213-3410
Other practice location 1
3471 Fifth Avenue
Kaufmann Bldg 4th flr Suite 402
Pittsburgh, PA 15213
Phone (412) 692-4506
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220628003849 | PA | Order and Referring Only - Anesthesiology | 6709266307 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| HS000288L | PA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paragon Anesthesia PC | Anesthesiology | Past | Accepting new patients |
| Singing River Health System | Past | Accepting new patients |
Interoperability endpoints
- austin.j.puchany@upmcdirect.com
Organizations & group practices 2
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.
-
- Anesthesiology Physician
- Kingsport, TN
- NPI 1538174974
-
- Internal Medicine Physician
- Pascagoula, MS
- NPI 1134283419
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782864000000",
"number": "1578293122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 FORBES AVE STE 140",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152133410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10415 WALLACE ALLEY ST",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376633936",
"telephone_number": "423-390-0451"
}
],
"practiceLocations": [
{
"address_1": "3471 Fifth Avenue",
"address_2": "Kaufmann Bldg 4th flr Suite 402",
"address_purpose": "LOCATION",
"city": "Pittsburgh",
"state": "PA",
"postal_code": "15213",
"country_code": "US",
"telephone_number": "412-692-4506",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PUCHANY",
"first_name": "AUSTIN",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-15",
"last_updated": "2026-07-01",
"certification_date": "2026-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TN",
"license": "6941",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "PA",
"license": "HS000288L",
"primary": false
}
],
"identifiers": [],
"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 Jul 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.