Tri-City Pediactric Cardiology P C

Primary specialty

Pediatric Cardiology PhysicianTaxonomy code 2080P0202X

Legal business name

TRI-CITY PEDIACTRIC CARDIOLOGY P C

Doing business as

Tri-City Pediactric Cardiology P C

Practice address

2312 Knob Creek Rd
Suite 208
Johnson City, TN 37604-2367

Phone

(423) 610-1099

Fax

(423) 610-1166

NPI assigned

Nov 15, 2006

Last updated

Apr 6, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ashok V Mehta, MDNPI 1477515880

Title

President and Ceo

Phone

(423) 610-1099

Specialties & licenses 1

Addresses

Other names 1

• TRI-CITY PEDIACTRIC CARDIOLOGY P C Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ashish B Madhok, MD

  • Pediatric Cardiology Physician
  • Johnson City, TN
  • NPI 1376533489
  Medicare reassignment NPD
• Jerry Don Walkup Jr., M.D.

  • Pediatric Cardiology Physician
  • Johnson City, TN
  • NPI 1578856985

  Single Specialty

  Medicare reassignment NPD
• Ashok V Mehta, MD

  • Pediatric Cardiology Physician
  • Johnson City, TN
  • NPI 1477515880
  Authorized official Same address or phone
• Lacy Hicks, CPNP

  • Pediatric Cardiology Physician
  • Johnson City, TN
  • NPI 1396465621

  Single Specialty

  NPD
• Brooke Nicole Pennings, NP

  • Primary Care Nurse Practitioner
  • Johnson City, TN
  • NPI 1720641137
  NPD (past)
• Christine M. Rigsby, APN

  • Nurse Practitioner
  • Johnson City, TN
  • NPI 1710012125
  NPD (past)
• Otto H.P. Teixeira, MD

  • Pediatric Cardiology Physician
  • Johnson City, TN
  • NPI 1831184266
  NPD (past)

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333670400000",
    "number": "1841362555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3953",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376023953",
            "telephone_number": "423-610-1099",
            "fax_number": "423-610-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2312 KNOB CREEK RD",
            "address_2": "SUITE 208",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042367",
            "telephone_number": "423-610-1099",
            "fax_number": "423-610-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-CITY PEDIACTRIC CARDIOLOGY P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2012-04-06",
        "status": "A",
        "authorized_official_last_name": "MEHTA",
        "authorized_official_first_name": "ASHOK",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "423-610-1099",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TRI-CITY PEDIACTRIC CARDIOLOGY P C",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tri-Cities Observation Services, PC
• Tri-Cities Outpatient Surgery, Inc.
• Tri-Cities Regional Emergency Physicians, PC
• Tri-Cities Therapy & Counseling
• Tri-Cities Transportation (Brady A Lewis d/b/a Tri-Cities Transportation)
• Tri-County Medical & Ostomy Supplies, Inc.
• Tri-Starr Transportation, Inc.
• Tri-State Cardiology
• Tricities Skin and Cancer
• Trinity Cancer Care, P.C.

• Pediatric Cardiology Physician in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Pediatric Cardiology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.