Organization Active NPI

Healthstar Physicians, P.C.

  • Foot & Ankle Surgery Podiatrist
  • La Follette, TN
National Provider Identifier
1649757238
Registry record updated Sep 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
DPM739 Issued in TN
Legal business name
HEALTHSTAR PHYSICIANS, P.C.
Practice address
2435 Jacksboro Pike Ste 3
La Follette, TN 37766-2912
Phone
(423) 449-8135
Fax
(423) 201-9559
NPI assigned
Jul 26, 2018
Organization subpart
Yes
Parent organization
HEALTHSTAR PHYSICIANS, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 18, 2018

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

Authorized official

Name
Odessa Brabson
Title
Cfo
Phone
(423) 581-5925

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ES0103X DPM739 TN Primary

Addresses

Primary practice location

2435 Jacksboro Pike Ste 3
La Follette, TN 37766-2912

Mailing address

2435 Jacksboro Pike Ste 3
La Follette, TN 37766-2912
Phone (423) 449-8135

Other names 1

  • Faculty Physicians-Lafollette Other name

National Provider Directory

National Provider Directory
Part of
Charles Weckesser MD

Locations

420 W Morris Blvd
Ste 400A
Morristown, TN 37813
Phone (423) 318-6617

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1532563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537228800000",
    "number": "1649757238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2435 JACKSBORO PIKE STE 3",
            "city": "LA FOLLETTE",
            "state": "TN",
            "postal_code": "377662912",
            "telephone_number": "423-449-8135",
            "fax_number": "423-201-9559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2435 JACKSBORO PIKE STE 3",
            "city": "LA FOLLETTE",
            "state": "TN",
            "postal_code": "377662912",
            "telephone_number": "423-449-8135",
            "fax_number": "423-201-9559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHSTAR PHYSICIANS, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEALTHSTAR PHYSICIANS, P.C.",
        "enumeration_date": "2018-07-26",
        "last_updated": "2018-09-18",
        "status": "A",
        "authorized_official_last_name": "BRABSON",
        "authorized_official_first_name": "ODESSA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "423-581-5925"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TN",
            "license": "DPM739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Faculty Physicians-Lafollette",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Faculty Physicians-Lafollette",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in La Follette, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2018; 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.