Elaine L. Devos MD PC

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

License

MD28462 Issued in TN

Legal business name

ELAINE L. DEVOS MD PC

Practice address

2511 Wesley St
Johnson City, TN 37601-1723

Phone

(423) 854-9051

NPI assigned

Apr 29, 2008

Organization subpart

No

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

Authorized official

Name

Elaine L Devos, MD

Title

President

Phone

(423) 854-9051

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260230400000",
    "number": "1821263906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2817 AVONDALE DR",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376041900",
            "telephone_number": "423-854-9051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2511 WESLEY ST",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376011723",
            "telephone_number": "423-854-9051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELAINE L. DEVOS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-29",
        "last_updated": "2009-12-08",
        "status": "A",
        "authorized_official_last_name": "DEVOS",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-854-9051",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Rehabilitation Practitioner",
            "state": "TN",
            "license": "MD28462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "3040644",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3805386",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tracy Eiswert, CMSW
• Marcheta Raquel Ejiwumi, LMSW
• Janet Michelle Ekstrom, M.S., CCC-SLP
• Hana El Ado Mikdachi, M.D.
• Hadi E El Bazouni, MD
• Saravanan Elangovan, PH.D., CCC-A
• Elcm Johnson City Leasing LLC
• Elcm Johnson City Management LLC
• Brad Eldridge, D.C.
• Kennedy L Eldridge, DNP, PMHNP-BC

• Rehabilitation Practitioner in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Rehabilitation Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2009; 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.