Osteopathic Center

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

DO0000002081 Issued in TN

Legal business name

OSTEOPATHIC CENTER

Practice address

4320 Ball Camp Pike
Knoxville, TN 37921-3312

Phone

(865) 693-8772

Fax

(865) 219-2848

NPI assigned

Feb 1, 2014

Organization subpart

No

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

Authorized official

Name

Jayne M Montross

Title

Coo

Phone

(865) 693-8772

Specialties & licenses 1

Addresses

Other names 1

• Kristopher Goddard Other name

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

{
    "created_epoch": "1391212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391212800000",
    "number": "1629491295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 S UNIVERSITY DR",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333283839",
            "telephone_number": "954-634-4292",
            "fax_number": "954-634-4293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 BALL CAMP PIKE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379213312",
            "telephone_number": "865-693-8772",
            "fax_number": "865-219-2848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSTEOPATHIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-01",
        "last_updated": "2014-02-01",
        "status": "A",
        "authorized_official_last_name": "MONTROSS",
        "authorized_official_first_name": "JAYNE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "865-693-8772"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "DO0000002081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kristopher Goddard",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Oscar H Grandas MD PLLC
• Gary D. Oshaughnessy, D.O.
• Oladapo Oshikoya, MD
• Amanda Oslund
• Suri Valentina Ospina Bermeo
• Osteopathic Center PLLC
• Hannah Kristian Oster, MA, NCC
• Lynnette Gallastegui Osterlund, M.D.
• Sally J Ostermeier, LCSW
• Nirvikta Osti

• Family Medicine Physician in Knoxville, TN
• Providers in Knoxville, 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 Feb 1, 2014; 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.