Loudon Dermatology, P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

34515 Issued in TN

Legal business name

LOUDON DERMATOLOGY, P.C.

Practice address

576 Fort Loudoun Medical Center Dr
Suite 108
Lenoir City, TN 37772-5676

Phone

(865) 986-5526

Fax

(865) 986-5493

NPI assigned

Jan 24, 2007

Organization subpart

No

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

Authorized official

Name

Emese Suranyi, MDNPI 1568404085

Title

Owner

Phone

(865) 986-5526

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

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.

• Emese Mary Suranyi, M.D.

  • Specialist
  • Lenoir City, TN
  • NPI 1568404085
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205280000000",
    "number": "1760537542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "576 FORT LOUDOUN MEDICAL CENTER DR",
            "address_2": "SUITE 108",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "377725676",
            "telephone_number": "865-986-5526",
            "fax_number": "865-986-5493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "576 FORT LOUDOUN MEDICAL CENTER DR",
            "address_2": "SUITE 108",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "377725676",
            "telephone_number": "865-986-5526",
            "fax_number": "865-986-5493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUDON DERMATOLOGY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2008-03-12",
        "status": "A",
        "authorized_official_last_name": "SURANYI",
        "authorized_official_first_name": "EMESE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-986-5526",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TN",
            "license": "34515",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMEDICARE",
            "identifier": "DE3080",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMEDICARE",
            "identifier": "P00284371",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Kimberly Lokey
• Loudon Cardiology, PLLC
• Loudon County Pediatrics, PC
• Matthew David Lowrance, DO
• Mary Helen Lyle-Joiner, LPC-MHSP
• June Yvonne Lyons, DO
• Mabry Family Dentistry
• Mabry, Akhrass & McCary, DDS, LLP

• Specialist in Lenoir City, TN
• Providers in Lenoir City, TN by specialty
• Specialist in Tennessee

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