Organization Active NPI

Healthstar Physicians, P.C.

  • Foot & Ankle Surgery Podiatrist
  • Tazewell, TN
National Provider Identifier
1689240251
Registry record updated Jun 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
HEALTHSTAR PHYSICIANS, P.C.
Practice address
209 Irish Cemetery Rd Ste 2
Tazewell, TN 37879-3611
Phone
(423) 869-5600
Fax
(423) 259-3449
NPI assigned
Jun 3, 2021
Organization subpart
Yes
Parent organization
HEALTHSTAR PHYSICIANS, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 3, 2021

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

Authorized official

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

Specialties & licenses 1

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

Addresses

Primary practice location

209 Irish Cemetery Rd Ste 2
Tazewell, TN 37879-3611

Mailing address

209 Irish Cemetery Rd Ste 2
Tazewell, TN 37879-3611
Phone (423) 869-5600

Other names 1

  • Tazewell Office Other name

National Provider Directory

National Provider Directory
Part of
Charles Weckesser MD

Locations

209 Irish Cemetery Rd
Ste 2
Tazewell, TN 37879
Phone (423) 869-5600

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": "1622678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622678400000",
    "number": "1689240251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 IRISH CEMETERY RD STE 2",
            "city": "TAZEWELL",
            "state": "TN",
            "postal_code": "378793611",
            "telephone_number": "423-869-5600",
            "fax_number": "423-259-3449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 IRISH CEMETERY RD STE 2",
            "city": "TAZEWELL",
            "state": "TN",
            "postal_code": "378793611",
            "telephone_number": "423-869-5600",
            "fax_number": "423-259-3449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHSTAR PHYSICIANS, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEALTHSTAR PHYSICIANS, P.C.",
        "enumeration_date": "2021-06-03",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-03",
        "status": "A",
        "authorized_official_last_name": "BRABSON",
        "authorized_official_first_name": "ODESSA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "423-581-5925"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tazewell Office",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tazewell, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2021; 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.