NPIMap

Individual provider Active NPI

Gabriel Alberto Zaietta, M.D.

  • Pulmonary Disease Physician
  • Bristol, TN
National Provider Identifier
1740477116
Registry record updated Sep 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
49629 Issued in TN
Practice address
271 Medical Park Blvd
Bristol, TN 37620-7455
Phone
(423) 968-2311
Fax
(423) 968-2109
NPI assigned
Oct 1, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 49629 TN Primary
Pulmonary Disease Physician 207RP1001X 0101253344 VA

Addresses

Primary practice location

271 Medical Park Blvd
Bristol, TN 37620-7455

Mailing address

105 W Stone Dr
Suite 6a
Kingsport, TN 37660-3365
Phone (423) 408-7220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, VA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130917000802 TN Practitioner - Pulmonary Disease 8820232622 Reassigns benefits to 1 organization
I20130926000022 VA Practitioner - Pulmonary Disease 8820232622 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellmont Medical Associates IncGroup PAC ID 8123291739, shared by 2 NPIs, 432 clinicians

Practice addresses (Care Compare)

1 Medical Park Blvd
Bristol, TN 37620-7430

1 Medical Park Blvd
Suite 205E
Bristol, TN 37620-7507
Phone (423) 844-5520

1 Medical Park Blvd
Suite 250W
Bristol, TN 37620-7431
Phone (423) 844-6620

111 W Stone Dr
Kingsport, TN 37660-6027

16000 Johnson Memorial Dr
Abingdon, VA 24211-7664

1990 Holton Ave E
Big Stone Gap, VA 24219-3350
Phone (423) 230-8200

Hospital & facility affiliations

  • Wellmont Bristol Regional Medical Center Hospital, Bristol, TN, CCN 440012
  • Smyth County Community Hospital Hospital, Marion, VA, CCN 490038
  • Johnston Memorial Hospital Hospital, Abingdon, VA, CCN 490053
  • Johnson City Medical Center Hospital, Johnson City, TN, CCN 440063
  • Russell County Hospital Hospital, Lebanon, VA, CCN 490002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101253344VAMDPulmonary Disease Physician
49629TNMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmont Medical Associates Inc CurrentSince Oct 1, 2013 Accepting new patients
Wellmont Medical Associates, Inc. CurrentSince Oct 1, 2013 Accepting new patients
Wellmont Medical Associates, Inc. CurrentSince Oct 1, 2013 Accepting new patients
Wellmont Medical Associates Inc Pulmonary Disease Current Accepting new patients
Blue Ridge Medical Management Corporation Past Accepting new patients

Locations

1 Medical Park Blvd
Ste 205E
Bristol, TN 37620
Phone (423) 844-5520

105 W Stone Dr
Ste 6A
Kingsport, TN 37660
Phone (423) 408-7220

111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197

391 Falls Dr NW
Abingdon, VA 24210
Phone (276) 628-4406

1990 Holton Ave E
Big Stone Gap, VA 24219
Phone (276) 523-3111

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380499200000",
    "number": "1740477116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 W STONE DR",
            "address_2": "SUITE 6A",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376603365",
            "telephone_number": "423-408-7220",
            "fax_number": "423-408-7405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 MEDICAL PARK BLVD",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376207455",
            "telephone_number": "423-968-2311",
            "fax_number": "423-968-2109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAIETTA",
        "first_name": "GABRIEL",
        "middle_name": "ALBERTO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-01",
        "last_updated": "2013-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TN",
            "license": "49629",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "VA",
            "license": "0101253344",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, TN

Sources for this page

Verify at the official NPI Registry.