Plateau Medical Specialist PLLC

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

License

34621 Issued in TN

Legal business name

PLATEAU MEDICAL SPECIALIST PLLC

Practice address

57 W Adams St
Crossville, TN 38555-4836

Phone

(931) 484-7675

Fax

(931) 484-3045

NPI assigned

Jan 2, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Steven Pribanich, M.D.

Title

Owner

Phone

(931) 484-7675

Specialties & licenses 1

Addresses

Other names 1

• Steven Pribanich, M.D. Doing business as

Locations

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

{
    "created_epoch": "1420156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432684800000",
    "number": "1700274487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "848 LIVINGSTON RD",
            "address_2": "SUITE 101, PMB #49",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385556740",
            "telephone_number": "931-484-7675",
            "fax_number": "931-484-3045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 W ADAMS ST",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385554836",
            "telephone_number": "931-484-7675",
            "fax_number": "931-484-3045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLATEAU MEDICAL SPECIALIST PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-02",
        "last_updated": "2015-05-27",
        "status": "A",
        "authorized_official_last_name": "PRIBANICH",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-484-7675",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": "TN",
            "license": "34621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Steven Pribanich, M.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Susan N Pick, MD
• Farrell D Pierson, M.D.
• David Wilson Pitts, MD
• Plateau Family Dentistry
• Plateau Medical Group PC
• Plateau Pediatrics, PLC
• Plateau Physical Therapy Inc
• Plateau Pulmonology LLC
• Plateau Surgery Center
• Barima Poku, MD

• Sports Medicine (Family Medicine) Physician in Crossville, TN
• Providers in Crossville, TN by specialty
• Sports Medicine (Family Medicine) Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2015; 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.