Organization Active NPI

Mohammad Bhidya MD PC

Doing business as quality medical center

  • Specialist
  • Maynardville, TN
National Provider Identifier
1659497394
Registry record updated Feb 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD0000025564 Issued in TN
Legal business name
MOHAMMAD BHIDYA MD PC
Doing business as
quality medical center
Practice address
2595 Maynardville Hwy
Maynardville, TN 37807
Phone
(865) 992-3000
Fax
(865) 992-7787
NPI assigned
Mar 22, 2007
Last updated
Feb 18, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2010

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

Authorized official

Name
Dr. Mohammad Parvez Bhidya, M.D.
Title
President Secretary Mohammad Bhidya
Phone
(865) 992-3000

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X MD0000025564 TN Primary
Family Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LF0000X APN0000008234 TN
Family Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LF0000X APN0000006032 TN

Addresses

Primary practice location

2595 Maynardville Hwy
Maynardville, TN 37807

Mailing address

PO Box 117
Maynardville, TN 37807
Phone (865) 992-3000

Other names 1

  • quality medical center Doing business as

National Provider Directory

National Provider Directory

Locations

2595 Maynardville Hwy
Maynardville, TN 37807
Phone (865) 992-1922

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266451200000",
    "number": "1659497394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 117",
            "city": "MAYNARDVILLE",
            "state": "TN",
            "postal_code": "37807",
            "telephone_number": "865-992-3000",
            "fax_number": "865-992-7787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2595 MAYNARDVILLE HWY",
            "city": "MAYNARDVILLE",
            "state": "TN",
            "postal_code": "37807",
            "telephone_number": "865-992-3000",
            "fax_number": "865-992-7787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAMMAD BHIDYA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2010-02-18",
        "status": "A",
        "authorized_official_last_name": "BHIDYA",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "PARVEZ",
        "authorized_official_title_or_position": "PRESIDENT SECRETARY MOHAMMAD BHIDYA",
        "authorized_official_telephone_number": "865-992-3000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "TN",
            "license": "MD0000025564",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000008234",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000006032",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "quality medical center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Maynardville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2010; 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.