Active NPI
Anthony J Palazzo, MD
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Johnson City, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 43661
- Practice address
- 310 N State of Franklin Rd
Suite 101
Johnson City, TN 37604-6008 - Phone
- (423) 929-7393
- Fax
- (423) 929-0872
- NPI assigned
- Apr 6, 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 |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 43661 | TN | Primary |
Addresses
Primary practice location
310 N State of Franklin Rd
Suite 101
Johnson City, TN 37604-6008
Mailing address
310 N State of Franklin Rd
Suite 101
Johnson City, TN 37604-6008
Phone (423) 929-7393
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100051410 | Medicaid | KY | |
| 1506079 | Medicaid | TN | |
| P00677077 | Other | SD | RAILROAD MEDICARE |
| 4190101 | Other | TN | BC/BS |
| 5910847 | Medicaid | NC | |
| 1629030267 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Thoracic Surgery
- Education
- Louisiana State University School of Medicine in Shreveport, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
271 Medical Park Blvd
Bristol, TN 37620-7455
Phone (423) 274-8600
Hospital & facility affiliations
- Johnson City Medical Center
- Wellmont Bristol Regional Medical Center
- Franklin Woods Community Hospital
- Greeneville Community Hospital
- Wellmont Holston Valley Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary artery bypass graft (CABG) | 23 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43661 | TN | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellmont Medical Associates, Inc. | Current | Accepting new patients | |
| Wellmont Medical Associates Inc | Current | Accepting new patients | |
| Wellmont Medical Associates, Inc. | Current | Accepting new patients | |
| Blue Ridge Medical Management Corporation | Current | Accepting new patients | |
| Blue Ridge Medical Management Corporation | Current | Accepting new patients | |
| Wellmont Cardiology Services | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Current | Accepting new patients |
| Blue Ridge Medical Management Corporation | Current | Accepting new patients | |
| Mountain States Health Alliance | Past | Accepting new patients | |
| Johnston Memorial Hospital, Inc | Past | Accepting new patients |
Locations
1497 W Elk Ave
Ste 20
Elizabethton, TN 37643
Phone (423) 547-7380
1019 W Oakland Ave
Ste 1
Johnson City, TN 37604
Phone (423) 915-5000
2 Professional Park Dr
Ste 15
Johnson City, TN 37604
Phone (423) 232-4867
310 N State of Franklin Rd
Ste 101
Johnson City, TN 37604
Phone (423) 929-7393
111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197
2050 Meadowview Pkwy
Kingsport, TN 37660
Organizations & group practices 9
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.
-
- Cardiovascular Disease Physician
- Kingsport, TN
- NPI 1376575035
Thoracic Surgery (Cardiothoracic Vascular Surgery)
-
- Urgent Care Clinic/Center
- Elizabethton, TN
- NPI 1144380833
-
- Pulmonary Disease Physician
- Kingsport, TN
- NPI 1780986257
-
- Cardiovascular Disease Physician
- Rogersville, TN
- NPI 1194754234
-
- Family Medicine Physician
- Johnson City, TN
- NPI 1982553756
-
- Psychiatry Physician
- Johnson City, TN
- NPI 1275393522
-
- Internal Medicine Physician
- Kingsport, TN
- NPI 1598124398
-
- General Acute Care Hospital
- Johnson City, TN
- NPI 1972606465
-
- Community/Retail Pharmacy
- Abingdon, VA
- NPI 1245577071
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Johnson City, TN
- NPI 1023434339
-
- General Acute Care Hospital
- Johnson City, TN
- NPI 1114033628
-
- Psychiatric Hospital Unit
- Johnson City, TN
- NPI 1962915652
-
- General Acute Care Hospital
- Johnson City, TN
- NPI 1972606465
-
- General Acute Care Hospital
- Greeneville, TN
- NPI 1699819003
-
- General Acute Care Hospital
- Bristol, TN
- NPI 1124058615
-
- General Acute Care Hospital
- Kingsport, TN
- NPI 1487690400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487635200000",
"number": "1629030267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 N STATE OF FRANKLIN RD",
"address_2": "SUITE 101",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376046008",
"telephone_number": "423-929-7393",
"fax_number": "423-929-0872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 N STATE OF FRANKLIN RD",
"address_2": "SUITE 101",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376046008",
"telephone_number": "423-929-7393",
"fax_number": "423-929-0872"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALAZZO",
"first_name": "ANTHONY",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-06",
"last_updated": "2017-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "TN",
"license": "43661",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100051410",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1506079",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00677077",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "4190101",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5910847",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1629030267",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Johnson City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.