NPIMap

Organization Active NPI

Anderson Heart Physician

  • Clinic/Center
  • Oak Ridge, TN
National Provider Identifier
1811280209
Registry record updated May 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
ANDERSON HEART PHYSICIAN
Practice address
200 New York Ave Ste 110
Oak Ridge, TN 37830-5216
Phone
(865) 483-1110
NPI assigned
May 18, 2011
Organization subpart
Yes
Parent organization
MERCY PHYSICIAN SERVICES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 18, 2011

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

Authorized official

Name
Susanne Nelms
Title
Executive Director
Phone
(865) 549-4892

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

200 New York Ave Ste 110
Oak Ridge, TN 37830-5216

Mailing address

200 New York Ave Ste 110
Oak Ridge, TN 37830-5216
Phone (865) 483-1110

National Provider Directory

National Provider Directory
Tax ID family
Mercy Women'S Center31 organizations share this tax ID, including this one
Part of
Mercy Women'S Center

Other organizations with this tax ID 30

Organizations that report the same tax identification number in the National Provider Directory.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1305676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305676800000",
    "number": "1811280209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 NEW YORK AVE STE 110",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378305216",
            "telephone_number": "865-483-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 NEW YORK AVE STE 110",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378305216",
            "telephone_number": "865-483-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERSON HEART PHYSICIAN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERCY PHYSICIAN SERVICES, LLC",
        "enumeration_date": "2011-05-18",
        "last_updated": "2011-05-18",
        "status": "A",
        "authorized_official_last_name": "NELMS",
        "authorized_official_first_name": "SUSANNE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "865-549-4892"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Ridge, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.