NPIMap

Organization Active NPI

East Tennessee Neuropathy, PC

  • Family Medicine Physician
  • Johnson City, TN
National Provider Identifier
1649511965
Registry record updated Mar 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
EAST TENNESSEE NEUROPATHY, PC
Practice address
818 Sunset Dr
Suite 103
Johnson City, TN 37604-8310
Phone
(423) 794-3142
Fax
(423) 794-3184
NPI assigned
Mar 12, 2013
Last updated
Mar 12, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2013

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

Authorized official

Name
Arthur Douglas Lensgraf
Title
President
Phone
(423) 794-3142

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1826 TN
Nurse Practitioner 363L00000X 15083 TN
Family Medicine Physician 207Q00000X Primary
Family Medicine Physician 207Q00000X 36478 TN
Internal Medicine Physician 207R00000X 18742 TN

Addresses

Primary practice location

818 Sunset Dr
Suite 103
Johnson City, TN 37604-8310

Mailing address

PO Box 50998
Knoxville, TN 37950-0998
Phone (423) 794-3142

National Provider Directory

National Provider Directory

Locations

818 Sunset Dr
Ste 103
Johnson City, TN 37604
Phone (423) 794-3142

Practitioners & affiliated clinicians

Practitioners 58

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.

View all 58

NPI Registry JSON

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

{
    "created_epoch": "1363046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363046400000",
    "number": "1649511965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50998",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379500998",
            "telephone_number": "423-794-3142",
            "fax_number": "423-794-3184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 SUNSET DR",
            "address_2": "SUITE 103",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376048310",
            "telephone_number": "423-794-3142",
            "fax_number": "423-794-3184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST TENNESSEE NEUROPATHY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-12",
        "last_updated": "2013-03-12",
        "status": "A",
        "authorized_official_last_name": "LENSGRAF",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-794-3142"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "1826",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "15083",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "36478",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "18742",
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Mar 12, 2013; 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.