Purihin Clinic-P. C.

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

35377 Issued in TN

Legal business name

PURIHIN CLINIC-P. C.

Practice address

3535 Chere Carol Rd
Humboldt, TN 38343-3634

Phone

(731) 784-3323

Fax

(731) 784-3324

NPI assigned

May 12, 2006

Last updated

Sep 16, 2008By 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

Dr. Ernesto Padiernos Chioco, M.D.

Title

President/Secretary

Phone

(731) 784-3323

Specialties & licenses 1

Addresses

Other identifiers 6

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221523200000",
    "number": "1649221938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 CHERE CAROL RD",
            "city": "HUMBOLDT",
            "state": "TN",
            "postal_code": "383433634",
            "telephone_number": "731-784-3323",
            "fax_number": "731-784-3324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 CHERE CAROL RD",
            "city": "HUMBOLDT",
            "state": "TN",
            "postal_code": "383433634",
            "telephone_number": "731-784-3323",
            "fax_number": "731-784-3324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURIHIN CLINIC-P. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2008-09-16",
        "status": "A",
        "authorized_official_last_name": "CHIOCO",
        "authorized_official_first_name": "ERNESTO",
        "authorized_official_middle_name": "PADIERNOS",
        "authorized_official_title_or_position": "PRESIDENT/SECRETARY",
        "authorized_official_telephone_number": "731-784-3323",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "TN",
            "license": "35377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE NUMBER",
            "identifier": "110229501",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3374104",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5724187",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3374104",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEMPHIS MANAGED CARE",
            "identifier": "20481",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4021754",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Latimer Phillips, PA-C
• Brent Pierce, PHARMD.
• Michael Blaine Potts
• Allie Renee Privitt
• Professional Eyecare Associates and Optical PLLC
• Rainbow Pediatric PC
• Tina Louise Witcher Resneck, LMHC
• Whitney Marie Revelle
• Rha Health Services TN, LLC (205 Turner)
• Rha Health Services TN, LLC (3301 Hunters)

• Geriatric Medicine (Internal Medicine) Physician in Humboldt, TN
• Providers in Humboldt, TN by specialty
• Geriatric Medicine (Internal Medicine) Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2008; 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.