Pulmonary Associates of Morristown

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

25075 Issued in TN

Legal business name

PULMONARY ASSOCIATES OF MORRISTOWN

Practice address

500 McFarland St
Suite B
Morristown, TN 37814

Phone

(423) 587-0740

Fax

(423) 581-0063

NPI assigned

Jul 23, 2006

Organization subpart

No

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

Authorized official

Name

Ernesto MejiaNPI 1205814605

Title

Owner/ Provider

Phone

(423) 587-0740

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 4

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

• Ernesto Mejia, MD

  • Pulmonary Disease Physician
  • Morristown, TN
  • NPI 1205814605
  Medicare reassignment NPD Authorized official
• Linda Susan Gourley, FNP-BC

  • Family Nurse Practitioner
  • Jefferson City, TN
  • NPI 1508860917
  NPD (past)
• Harsha Nonavinakere Shanthaveerappa, MD FCCP

  • Pulmonary Disease Physician
  • Chattanooga, TN
  • NPI 1093795858
  NPD (past)
• Mahmoud F Bakeer, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Orlando, FL
  • NPI 1487627667

  Pulmonary Disease

  NPD (past)

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587600000000",
    "number": "1730101684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 MCFARLAND ST",
            "address_2": "SUITE B",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "37814",
            "telephone_number": "423-587-0740",
            "fax_number": "423-581-0063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MCFARLAND ST",
            "address_2": "SUITE B",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "37814",
            "telephone_number": "423-587-0740",
            "fax_number": "423-581-0063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULMONARY ASSOCIATES OF MORRISTOWN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A",
        "authorized_official_last_name": "MEJIA",
        "authorized_official_first_name": "ERNESTO",
        "authorized_official_title_or_position": "OWNER/ PROVIDER",
        "authorized_official_telephone_number": "423-587-0740"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TN",
            "license": "25075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1205814605",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GRP NPI",
            "identifier": "1730101684",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Prohaska, D.O.
• Alexandria Proulx
• Jennifer Rae Province
• Kelley Christine Pugh
• Pulma Care Inc
• Shelby Quade
• Staci M Quillen, FNP
• Don G Quilliams, CRNA
• John R Rademacher
• Lauren Elizabeth Rader-Myers, PHARMACIST

• Pulmonary Disease Physician in Morristown, TN
• Providers in Morristown, TN by specialty
• Pulmonary Disease Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.