East Tennessee Clinic Corp

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

EAST TENNESSEE CLINIC CORP

Practice address

502 W 7TH North St
Morristown, TN 37814-3957

Phone

(423) 586-1818

Fax

(423) 586-5989

NPI assigned

Aug 31, 2010

Last updated

Jul 31, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brian A Peoples

Title

VP

Phone

(615) 465-7585

Specialties & licenses 3

Addresses

Other identifiers 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mary Lou Cameron, FNP

  • Family Nurse Practitioner
  • New Tazewell, TN
  • NPI 1922323559
  NPD (past)
• Betty Jo Ellington, DNP, APRN, FNP-BC

  • Family Nurse Practitioner
  • Jefferson City, TN
  • NPI 1114909538
  NPD (past)
• Eric Francis Hasemeier, DO

  • Family Medicine Physician
  • Dandridge, TN
  • NPI 1952365017
  NPD (past)
• Ginger L Withers, FNP

  • Family Nurse Practitioner
  • Morristown, TN
  • NPI 1063452365
  NPD (past)

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

{
    "created_epoch": "1283212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343692800000",
    "number": "1609182484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 W 7TH NORTH ST",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378143957",
            "telephone_number": "423-586-1818",
            "fax_number": "423-586-5989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 W 7TH NORTH ST",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378143957",
            "telephone_number": "423-586-1818",
            "fax_number": "423-586-5989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST TENNESSEE CLINIC CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-31",
        "last_updated": "2012-07-31",
        "status": "A",
        "authorized_official_last_name": "PEOPLES",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "615-465-7585"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1521155",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Deanne Dunn, BS
• Dyer Physician Services, PC (Center for Wellness)
• Leslie Denise Dyer, RN
• E. TN OB-GYN P.C.
• East Tennessee Center for Orthopaedic Excellence PLLC
• East Tennessee Comprehensive Rehabilitation Center Inc
• East Tennessee Oral & Maxillofacial Surgery, PC
• East Tennessee Pathology, PLLC
• East Tennessee Vascular Center, PLLC
• East TN Pharmacist Consultants

• Family Medicine Physician in Morristown, TN
• Providers in Morristown, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.

Verify at the official NPI Registry.