Organization Active NPI

Morristown MD Inc

  • Clinic/Center
  • Morristown, TN
National Provider Identifier
1811077910
Registry record updated Dec 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
MORRISTOWN MD INC
Practice address
1907 W Morris Blvd
Suite A100
Morristown, TN 37813-3860
Phone
(423) 587-2271
Fax
(423) 587-6412
NPI assigned
Oct 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2007

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

Authorized official

Name
Mrs. Jamie Leigh Page
Title
Owner
Phone
(423) 587-2271

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1907 W Morris Blvd
Suite A100
Morristown, TN 37813-3860

Mailing address

1907 W Morris Blvd
Suite A100
Morristown, TN 37813-3860
Phone (423) 587-2271

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196899200000",
    "number": "1811077910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1907 W MORRIS BLVD",
            "address_2": "SUITE A100",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378133860",
            "telephone_number": "423-587-2271",
            "fax_number": "423-587-6412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1907 W MORRIS BLVD",
            "address_2": "SUITE A100",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378133860",
            "telephone_number": "423-587-2271",
            "fax_number": "423-587-6412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORRISTOWN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2007-12-06",
        "status": "A",
        "authorized_official_last_name": "PAGE",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-587-2271",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.

Verify at the official NPI Registry.