Roane County Interventional Pain Management LLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

ROANE COUNTY INTERVENTIONAL PAIN MANAGEMENT LLC

Practice address

1468 Gateway Ave
Rockwood, TN 37854-4143

Phone

(865) 466-0650

NPI assigned

Mar 22, 2011

Last updated

Sep 28, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Mary Martelloni

Title

Practice Adm

Phone

(865) 466-0650

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Hannah A Holcombe, PA-C

  • Physician Assistant
  • Knoxville, TN
  • NPI 1295066199
  NPD (past)

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

{
    "created_epoch": "1300752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317168000000",
    "number": "1750680328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 476",
            "city": "HARRIMAN",
            "state": "TN",
            "postal_code": "377480476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1468 GATEWAY AVE",
            "city": "ROCKWOOD",
            "state": "TN",
            "postal_code": "378544143",
            "telephone_number": "865-466-0650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROANE COUNTY INTERVENTIONAL PAIN MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-22",
        "last_updated": "2011-09-28",
        "status": "A",
        "authorized_official_last_name": "MARTELLONI",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "PRACTICE ADM",
        "authorized_official_telephone_number": "865-466-0650",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Faith Peters
• Joanna Price, LPN
• Pure Tones, LLC (Roane Hearing)
• Chloe Elizabeth Reichard, RN
• Faythe Reid
• Rockvegas Enterprises Inc Dba Gateway Pharmacy (Gateway Pharmacy)
• Hans William Rogers, D.PH.
• Shiann N Ryan, PA-C
• Donald Ryans, LADAC I
• Kenneth Edward Scarbrough, PHARMD

• Interventional Pain Medicine Physician in Rockwood, TN
• Providers in Rockwood, TN by specialty
• Interventional Pain Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.