NPIMap

Organization Active NPI

Surgical Services of East Tennessee PC

  • Surgery Physician
  • Johnson City, TN
National Provider Identifier
1790201135
Registry record updated Jul 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
27099 Issued in TN
Legal business name
SURGICAL SERVICES OF EAST TENNESSEE PC
Practice address
300 East Main St., Suite 301
Johnson City, TN 37601
Phone
(423) 979-0000
Fax
(423) 587-4649
NPI assigned
Aug 17, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2018

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

Authorized official

Name
Daniel Drinnen, M.D.
Title
Owner
Phone
(423) 979-0000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 27099 TN Primary

Addresses

Primary practice location

300 East Main St., Suite 301
Johnson City, TN 37601

Mailing address

300 E Main St Ste 301
Johnson City, TN 37601-5708
Phone (423) 979-0000

National Provider Directory

National Provider Directory

Locations

204 Hannah Rd
Harriman, TN 37748

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1502928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531267200000",
    "number": "1790201135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MAIN ST STE 301",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376015708",
            "telephone_number": "423-979-0000",
            "fax_number": "423-979-6333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 EAST MAIN ST., SUITE 301",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "37601",
            "telephone_number": "423-979-0000",
            "fax_number": "423-587-4649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL SERVICES OF EAST TENNESSEE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-17",
        "last_updated": "2018-07-11",
        "status": "A",
        "authorized_official_last_name": "DRINNEN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-979-0000",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "TN",
            "license": "27099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2018; 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.