NPIMap

Organization Active NPI

JJ&R Emergency Group of Tennessee, P.C.

  • Emergency Medicine Physician
  • Greeneville, TN
National Provider Identifier
1730130949
Registry record updated Nov 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
G28196 Issued in CA
Legal business name
JJ&R EMERGENCY GROUP OF TENNESSEE, P.C.
Practice address
401 Takoma Ave
Emergency Department
Greeneville, TN 37743-4647
Phone
(423) 639-3151
Fax
(423) 636-2374
NPI assigned
May 12, 2006
Last updated
Nov 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2008

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

Authorized official

Name
Barry B. Staum, M.D.
Title
President &Ceo
Phone
(310) 301-2030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X G28196 CA Primary

Addresses

Primary practice location

401 Takoma Ave
Emergency Department
Greeneville, TN 37743-4647

Mailing address

1700 East Walnut Avenue
#250
El Sagundo, CA 90245-2605
Phone (310) 301-2030

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226448000000",
    "number": "1730130949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 EAST WALNUT AVENUE",
            "address_2": "#250",
            "city": "EL SAGUNDO",
            "state": "CA",
            "postal_code": "902452605",
            "telephone_number": "310-301-2030",
            "fax_number": "310-306-5247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 TAKOMA AVE",
            "address_2": "EMERGENCY DEPARTMENT",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377434647",
            "telephone_number": "423-639-3151",
            "fax_number": "423-636-2374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JJ&R EMERGENCY GROUP OF TENNESSEE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2008-11-12",
        "status": "A",
        "authorized_official_last_name": "STAUM",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PRESIDENT &CEO",
        "authorized_official_telephone_number": "310-301-2030",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "G28196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeneville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2008; 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.