Active NPI
Eyad K Aljamal, MD
- Cardiovascular Disease Physician
- Crossville, TN
National Provider Identifier
1780779751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- MD34139
- Practice address
- 320 South Main St
Crossville, TN 38555 - Phone
- (931) 456-6700
- NPI assigned
- Oct 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | MD34139 | TN | Primary |
Addresses
Primary practice location
320 South Main St
Crossville, TN 38555
Mailing address
PO Box 1220
Crossville, TN 38557
Phone (931) 456-6700
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3851666 | Medicaid | TN | |
| 4033314 | Other | TN | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34319 | TN | MD | Pharmacist |
| MD34139 | TN | MD | Cardiovascular Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192665600000",
"number": "1780779751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1220",
"city": "CROSSVILLE",
"state": "TN",
"postal_code": "38557",
"telephone_number": "931-456-6700",
"fax_number": "931-456-8008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 SOUTH MAIN ST",
"city": "CROSSVILLE",
"state": "TN",
"postal_code": "38555",
"telephone_number": "931-456-6700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALJAMAL",
"first_name": "EYAD",
"middle_name": "K",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2007-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "TN",
"license": "MD34139",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3851666",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "4033314",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Crossville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.