Urgent Care & Surgery Center - Lenoir LLC

Primary specialty

ContractorTaxonomy code 171W00000X

License

MD29862 Issued in TN

Legal business name

URGENT CARE & SURGERY CENTER - LENOIR LLC

Practice address

780 Highway 321 N
Ste 10
Lenoir City, TN 37771-6589

Phone

(865) 951-2012

Fax

(865) 951-2575

NPI assigned

Aug 24, 2011

Organization subpart

No

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

Authorized official

Name

Mark Gary Blumenthal, M.D.

Title

Owner

Phone

(865) 951-2012

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Marc A. Valley, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Johnson City, TN
  • NPI 1588641138
  NPD (past)

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

{
    "created_epoch": "1314144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314144000000",
    "number": "1700166584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S GALLAHER VIEW RD",
            "address_2": "STE 224",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379195361",
            "telephone_number": "865-951-2012",
            "fax_number": "865-951-2575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 HIGHWAY 321 N",
            "address_2": "STE 10",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "377716589",
            "telephone_number": "865-951-2012",
            "fax_number": "865-951-2575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URGENT CARE & SURGERY CENTER - LENOIR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-24",
        "last_updated": "2011-08-24",
        "status": "A",
        "authorized_official_last_name": "BLUMENTHAL",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "GARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-951-2012",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor",
            "state": "TN",
            "license": "MD29862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Uhs Primary Care LLC
• University Health System, Inc.
• University Health System, Inc.
• Sydney Upchurch, CPNP
• Petra Anna Urban, CPHT
• Linda L Vekasi, MSN- CRNA
• Justin Robert Vilaseca, DPM
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP
• Brenda Elane Walden

• Contractor in Lenoir City, TN
• Providers in Lenoir City, TN by specialty
• Contractor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.