Individual provider Active NPI

Joseph C Lauterbach, M.D.

  • Specialist
  • Athens, TN
National Provider Identifier
1851370431
Registry record updated Dec 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
M.D. 39784 Issued in TN
Practice address
817 Cook Dr
Athens, TN 37303-3485
Phone
(423) 745-3394
Fax
(423) 745-3396
NPI assigned
Jan 12, 2006
Last updated
Dec 16, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X M.D. 39784 TN Primary

Addresses

Primary practice location

817 Cook Dr
Athens, TN 37303-3485

Mailing address

817 Cook Dr
Athens, TN 37303-3485
Phone (423) 745-3394

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050916000829 TN Practitioner - Obstetrics/Gynecology 9638077563 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Tennessee, HSC, College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athens Womens Clinic, P.C.Group PAC ID 2365475969, 3 clinicians

Practice addresses (Care Compare)

817 Cook Dr
Athens, TN 37303-3485

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M.D. 39784TNMDSpecialist
39784TNMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Athens Womens Clinic, P.C. Specialist CurrentSince Jul 1, 2005 Accepting new patients
Athens Regional Medical Center LLC Past Accepting new patients
Family Medicine West PLLC PastSince Jul 1, 2005 Accepting new patients

Locations

817 Cook Dr
Athens, TN 37303
Phone (423) 745-3394

Interoperability endpoints

  • Direct secure messaging: dr_joseph_lauterbach@yourcarecommunity.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Athens Womens Clinic, P.C.Athens, TN, CCN 448951 Rural health clinic 5% Or Greater Direct Ownership Interest (50%)
Corporate Director (50%)
W-2 Managing Employee (50%)
Operational/Managerial Control (50%)
Jan 1, 2012
Jan 1, 2012
Jan 1, 2012
Jan 1, 2012

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292457600000",
    "number": "1851370431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 COOK DR",
            "city": "ATHENS",
            "state": "TN",
            "postal_code": "373033485",
            "telephone_number": "423-745-3394",
            "fax_number": "423-745-3396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 COOK DR",
            "city": "ATHENS",
            "state": "TN",
            "postal_code": "373033485",
            "telephone_number": "423-745-3394",
            "fax_number": "423-745-3396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUTERBACH",
        "first_name": "JOSEPH",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-12",
        "last_updated": "2010-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TN",
            "license": "M.D. 39784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, TN

Sources for this page

Verify at the official NPI Registry.