Organization Active NPI

The Infusion Clinic

  • Infectious Disease Physician
  • Kingsport, TN
National Provider Identifier
1700195153
Registry record updated Jan 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
37711 Issued in TN
Legal business name
THE INFUSION CLINIC
Practice address
1936 Brookside Dr
Suite D
Kingsport, TN 37660-4654
Phone
(423) 943-4790
Fax
(888) 505-3632
NPI assigned
Oct 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2011

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

Authorized official

Name
Dr. Hiren B Patel, MDNPI 1225042831
Title
Owner
Phone
(423) 915-1126

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0200X 37711 TN Primary

Addresses

Primary practice location

1936 Brookside Dr
Suite D
Kingsport, TN 37660-4654

Mailing address

PO Box 4015
Johnson City, TN 37602-4015
Phone (423) 915-1126

Other identifiers 1

IdentifierTypeStateIssuer
3886961MedicaidTN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1286150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295222400000",
    "number": "1700195153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4015",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376024015",
            "telephone_number": "423-915-1126",
            "fax_number": "423-915-0635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1936 BROOKSIDE DR",
            "address_2": "SUITE D",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376604654",
            "telephone_number": "423-943-4790",
            "fax_number": "888-505-3632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE INFUSION CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-04",
        "last_updated": "2011-01-17",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "HIREN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-915-1126",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "TN",
            "license": "37711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3886961",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsport, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.