Thomas Payne Massello, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

08553 Issued in MS

Practice address

James H. Quillen/Vamc
Corner of Sidney and Lamont (Johnson City)
Mountain Home, TN 37684-4000

Phone

(423) 979-2734

Fax

(423) 979-2696

NPI assigned

Jul 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831129147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 LAKE HARBOR DR",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376152972",
            "telephone_number": "423-477-8258",
            "fax_number": "501-644-5818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "JAMES H. QUILLEN/VAMC",
            "address_2": "CORNER OF SIDNEY AND LAMONT (JOHNSON CITY)",
            "city": "MOUNTAIN HOME",
            "state": "TN",
            "postal_code": "376844000",
            "telephone_number": "423-979-2734",
            "fax_number": "423-979-2696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSELLO",
        "first_name": "THOMAS",
        "middle_name": "PAYNE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MS",
            "license": "08553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurie A Malyar, RD
• Kristie Markland
• Michael Joseph Marshall, O.T.R,.
• Nicole M Masian, MD
• Katherine Kuhlken Mason, PH.D.
• Angela Earlene May, M.D.
• Joe Harold May, M.D.
• McKenna McCall, PT, DPT
• Jill D McCarley, M.D.
• Rebecca Michele McCasland, APN

• Surgery Physician in Mountain Home, TN
• Providers in Mountain Home, TN by specialty
• Surgery Physician in Tennessee

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