Highland Springs Medical PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD018742 Issued in TN

Legal business name

HIGHLAND SPRINGS MEDICAL PC

Practice address

3114 Browns Mill Rd
Johnson City, TN 37604-1417

Phone

(865) 330-6320

NPI assigned

Apr 14, 2011

Organization subpart

No

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

Authorized official

Name

Ricahrd Boleyn

Title

President

Phone

(865) 330-6320

Specialties & licenses 2

Addresses

Other names 1

• Pain Management of Washington Cty Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard Alexander Boleyn, D.C.

  • Chiropractor
  • Johnson City, TN
  • NPI 1194841361
  NPD (past)

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

{
    "created_epoch": "1302739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302739200000",
    "number": "1689964322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3114 BROWNS MILL RD",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376041417",
            "telephone_number": "865-330-6320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3114 BROWNS MILL RD",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376041417",
            "telephone_number": "865-330-6320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLAND SPRINGS MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-14",
        "last_updated": "2011-04-14",
        "status": "A",
        "authorized_official_last_name": "BOLEYN",
        "authorized_official_first_name": "RICAHRD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "865-330-6320"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "DC1804",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD018742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pain Management of Washington Cty",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Blair Haren Hickman, MSSW LCSW
• Lacy Hicks, CPNP
• Melanie R Hicks, LPC
• Angela D Higgins, P.T.
• Kirsten Higgins, MS, LPC/MHSP
• Highlands Healthcare LLC
• Highrise Medical Supply, LLC
• Highrise Mobility LLC
• Hill-Rom Company, Inc.
• Barbara Hill, RBT

• Internal Medicine Physician in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Internal Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2011; 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.