Organization Active NPI

Peter M. Klara, M.D., PC

  • Neurological Surgery Physician
  • Tullahoma, TN
National Provider Identifier
1639360142
Registry record updated Aug 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
23924 Issued in TN
Legal business name
PETER M. KLARA, M.D., PC
Practice address
1940 N Jackson St
Suite 150
Tullahoma, TN 37388-8254
Phone
(931) 455-8484
Fax
(931) 455-8440
NPI assigned
Aug 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2007

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

Authorized official

Name
Mrs. Joann K. Foglia
Title
Practice Manager
Phone
(931) 455-8484

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X 23924 TN Primary

Addresses

Primary practice location

1940 N Jackson St
Suite 150
Tullahoma, TN 37388-8254

Mailing address

1940 N Jackson St
Suite 150
Tullahoma, TN 37388-8254
Phone (931) 455-8484

Other identifiers 1

IdentifierTypeStateIssuer
3733161MedicaidTN

National Provider Directory

National Provider Directory

Locations

1940 N Jackson St
Tullahoma, TN 37388
Phone (931) 454-1955

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186531200000",
    "number": "1639360142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 N JACKSON ST",
            "address_2": "SUITE 150",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373888254",
            "telephone_number": "931-455-8484",
            "fax_number": "931-455-8440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 N JACKSON ST",
            "address_2": "SUITE 150",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373888254",
            "telephone_number": "931-455-8484",
            "fax_number": "931-455-8440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER M. KLARA, M.D., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-08",
        "last_updated": "2007-08-08",
        "status": "A",
        "authorized_official_last_name": "FOGLIA",
        "authorized_official_first_name": "JOANN",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "931-455-8484",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "TN",
            "license": "23924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3733161",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tullahoma, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2007; 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.